OMB control number
Annuitant/OWCP Health Benefits Election Form
OMB 3206-0239 ยท OPM.
OMB 3206-0239
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Annuitant/OWCP Health Benefits Election Form |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 200207-3206-002 | Extension without change of a currently approved collection | 2002-07-03 | Approved without change | |
| 199901-3206-003 | New collection (Request for a new OMB Control Number) | 1999-01-29 | Approved without change |