National Medical Support Notice - Part B

National Medical Support Notice-Part B

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1210-0113 can be found here:

Documents and Forms

Document Name Document Type
1210_0113 National Medical Support Notice Part B 12-4-2019.docx Other-National Medical Support Notic
PartB_Reference_To_Addendum.docx Other-National Medical Support Notic
e-NMSN__Addendum 5 18 20.docx Other-Addendum

Information Collection (IC) Details

IC Title:	National Medical Support Notice - Part B	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 2590.609-2

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-National Medical Support Notice	1210_0113 National Medical Support Notice Part B 12-4-2019.docx	Yes	No	Fillable Fileable
Other-National Medical Support Notice	PartB_Reference_To_Addendum.docx	Yes	Yes	Fillable Fileable
Other-Addendum	e-NMSN__Addendum 5 18 20.docx	Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 425,444	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 48 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	10,546,371	0	10,546,371
Annual IC Time Burden (Hours)	878,864	0	878,864
Annual IC Cost Burden (Dollars)	3,322,107	-3,005,717	6,327,824

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.