AUGUST 1988 CPS RETIREE HEALTH INSURANCE BENEFITS SUPPLEMENT

ICR 198805-1210-001

OMB: 1210-0070

Federal Form Document

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ICR Details
1210-0070 198805-1210-001
Historical Active
DOL/EBSA
AUGUST 1988 CPS RETIREE HEALTH INSURANCE BENEFITS SUPPLEMENT
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 05/10/1988
Retrieve Notice of Action (NOA) 05/04/1988
The "August 1988 CPS Retiree Health Insurance Benefits Supplement" is approved through September 1988 as a one-time survey. Should the Department wish to collect this data again, the justification statement should describe: (1) the results of the August 1988 survey, (2) any problems identified during the administration of the survey (e.g., respondents could not provide the information requested, etc.), (3) how a new data collection instrument would address those problems, (4) efforts to avoid duplication of other existing Federal data collections, such as the SIPP.
  Inventory as of this Action Requested Previously Approved
09/30/1988 09/30/1988
57,000 0 0
2,800 0 0
0 0 0

THE INFORMATION COLLECTE BY THE SURVEY WILL MEASURE THE EXTENT TO WHICH EMPLOYERS PROVIDE HEALT INSURANCE COVERAGE TO PERSONS OVER 39 YEARS OF AGE, WITH PARTICULAR EMPHASIS ON CONTINUED COVERAGE FOR RETIREES AND THEIR SPOUSES.

None
None


No

1
IC Title Form No. Form Name
AUGUST 1988 CPS RETIREE HEALTH INSURANCE BENEFITS SUPPLEMENT CPS-1

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 57,000 0 0 57,000 0 0
Annual Time Burden (Hours) 2,800 0 0 2,800 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
05/04/1988


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