This collection
is approved to permit the agencies to collect preliminary,
anecdotal data. OMB advises that the results of this collection
should not be relied upon to develop statistical estimates or to
justify significant policy decisions. OMB welcomes the opportunity
to work with the agencies to develop future collections that
comport with OMBs Standards and Guidelines for Statistical Surveys
to ensure that the agencies obtain reliable statistical information
that is representative of the population.
Inventory as of this Action
Requested
Previously Approved
04/30/2011
6 Months From Approved
600
0
0
200
0
0
0
0
0
This questionnaire is required to
gather information needed to properly scope and implement the
provision in S. 1790, the Indian Health Care Improvement
Reauthorization and Extension Act of 2009, allowing for eligible
Tribes and urban Indian organizations to purchase FEHB and FEGLI
coverage. This questionnaire also serves to initiate Tribal
consultation in accordance with Executive Order 13175.
OPM requests an
emergency review of this FEHB/ FEGLI Implementation Questionnaire
for Tribes and Tribal Organizations so critical information
regarding the eligible population can be gathered in order to
proceed with implementation by January 2011. This is in accordance
with the statutorily mandated provision providing eligible tribes
with the opportunity to purchase FEHB and FEGLI coverage. In
absence of this collection, there is insufficient information
available to adequately determine the scope and cost of
implementation. This questionnaire serves to gather the requisite
information, allowing OPM to proceed with the implementation
process. An emergency review of the above mentioned questionnaire
will ensure this information can be gathered expeditiously, so this
provision can be properly scoped, implemented, and operational as
quickly as possible.
EO: EO
13175 Name/Subject of EO: Consultation and Coordination with Indian
Tribal Governments
This is a new collection for
OPM in support of E.O. 13175.
$0
No
No
Yes
Uncollected
No
Uncollected
Miles Windsor 202 606-8358
miles.windsor@opm.gov
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.