Federal Employee Health Benefits (FEHB) Open Season Express Interactive Response (IVR) System

Documents and Forms

Document Name Document Type
Form FEHB IVR Federal Employee Health Benefits (FEHB) Open Season Express Interactive Response (IVR) System Form and Instruction
FEHB_IVR_Scripts_2023.docx Instruction
FEHB_IVR_Scripts_2023.docx Other-Scripts
FEHB_IVR_PAS_PBS_2023_Revised.docx Instruction
FEHB_IVR_PAS_PBS_2023_Revised.docx Other-Privacy Act and Public Burden
FEHB IVR Open Season Online FEHBOS_IVR_Web Pages 1.pdf Form and Instruction
FEHB IVR Open Seas Web page 1 FEHBOS_IVR_Web Pages 1.pdf Form and Instruction
FEHB IVR Open Season Online FEHBOS_IVR_Web Pages 2.pdf Form and Instruction
FEHB IVR Open Seas Web page 2 FEHBOS_IVR_Web Pages 2.pdf Form and Instruction
FEHB IVR Open Season Online FEHB_IVR Web page 3.docx Form and Instruction
FEHB IVR Open Seas Web page 3 FEHB_IVR Web page 3.docx Form and Instruction
FEHB IVR Open Season Online FEHBOS_IVR_Web pages 4.pdf Form and Instruction
FEHB IVR Open Seas Web page 4 FEHBOS_IVR_Web pages 4.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Federal Employee Health Benefits (FEHB) Open Season Express Interactive Response (IVR) System	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 890

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FEHB IVR Open Season Online	Web page 1	FEHBOS_IVR_Web Pages 1.pdf	Yes	Yes	Fillable Printable
Form and Instruction	FEHB IVR Open Season Online	Web page 2	FEHBOS_IVR_Web Pages 2.pdf	Yes	Yes	Fillable Printable
Form and Instruction	FEHB IVR Open Season Online	Web page 3	FEHB_IVR Web page 3.docx	Yes	Yes	Fillable Printable
Other-Scripts			FEHB_IVR_Scripts_2023.docx	No		Paper Only
Other-Privacy Act and Public Burden Statements			FEHB_IVR_PAS_PBS_2023_Revised.docx	Yes	No	Printable Only
Form and Instruction	FEHB IVR Open Season Online	Web page 4	FEHBOS_IVR_Web pages 4.pdf	Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records
Title: OPM/Central 1	FR Citation: 73 FR 15013

Number of Respondents: 350,100	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	350,100	350,100
Annual IC Time Burden (Hours)	58,349	58,349
Annual IC Cost Burden (Dollars)	1,575,450	1,575,450

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.