[Federal Register Volume 59, Number 110 (Thursday, June 9, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-13897]


[[Page Unknown]]

[Federal Register: June 9, 1994]


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OFFICE OF PERSONNEL MANAGEMENT

 

Request for Reclearance of Information Collection OPM Form 2809-
EZ1

AGENCY: Office of Personnel Management.

ACTION: Notice.

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SUMMARY: In accordance with the Paperwork Reduction Act of 1980 (title 
44, U.S. Code, chapter 35), this notice announces a request for 
reclearance of an information collection. OPM Form 2809-EZ1, Enrollment 
Change and Brochure Request, is used only at Open Season to request an 
enrollment change, insurance plan brochures and other informational 
materials. If OPM Form 2809-EZ1 is used to request plan brochures, an 
OPM Form 2809-EZ2 is furnished to the enrollee for use if a plan change 
is desired.
    Approximately 102,531 OPM Forms 2809-EZ1 are completed annually. 
Each form takes approximately 30 minutes to complete. The annual burden 
is 51,266 hours.
    For copies of this proposal, contact C. Ronald Trueworthy on (703) 
908-8550.

DATES: Comments on this proposal should be received July 11, 1994.

ADDRESSES: Send or deliver comments to--

Lorraine E. Dettman, Chief, Retirement and Insurance Group, Operations 
Support Division, U.S. Office of Personnel Management, 1900 E Street, 
NW., room 3349, Washington, DC 20415.

      and

Joseph Lackey, OPM Desk Officer, Office of Information and Regulatory 
Affairs, Office of Management and Budget, New Executive Office 
Building, NW., room 3002, Washington, DC 20503.

FOR INFORMATION REGARDING ADMINISTRATIVE COORDINATION--CONTACT:
Mary Beth Smith-Toomey, Chief, Forms Analysis & Design, (202) 606-0623.

Office of Personnel Management.
Lorraine A. Green,
Deputy Director.
[FR Doc. 94-13897 Filed 6-8-94; 8:45 am]
BILLING CODE 6325-01-M