[Federal Register Volume 59, Number 130 (Friday, July 8, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-16441]


[[Page Unknown]]

[Federal Register: July 8, 1994]


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OFFICE OF PERSONNEL MANAGEMENT

 

Notice of Request for Reclearance of Form DPRS 2809

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. Form DPRS 2809, Request to 
Change FEHB Enrollment or to Receive Plan Brochures, is used by former 
spouses who are eligible to elect, cancel, or change health benefits 
enrollment during open season.
    Approximately 15,000 forms are completed annually. The form 
requires approximately 10 minutes to complete. The annual burden is 
2,500 hours.
    For copies of this proposal, contact C. Ronald Trueworthy on (703) 
908-8550.

dates: Comments on this proposal should be received on or before August 
8, 1994.

addresses: Send or deliver comments to--

Maurice O. Duckett, Retirement and Insurance Group, Fiscal Management 
Division, U.S. Office of Personnel Management, 1900 E Street, NW, Room 
3451, 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.

U.S. Office of Personnel Management.
Lorraine A. Green,
Deputy Director.
[FR Doc. 94-16441 Filed 7-7-94; 8:45 am]
BILLING CODE 6325-01-M