[Federal Register Volume 59, Number 141 (Monday, July 25, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-17942]


[[Page Unknown]]

[Federal Register: July 25, 1994]


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OFFICE OF PERSONNEL MANAGEMENT
 

Notice of Request for Reclearance of Information Collection OPM 
Form 2809-EZ2

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-EZ22, Open 
Season Health Benefits Enrollment Change Form, is used by annuitants 
only at Open Season to elect a change in health benefits coverage.
    Approximately 36,559 OPM Forms 2809-EZ2 are completed annually. 
Each form takes approximately 30 minutes to complete. The annual burden 
is 18,280 hours.
    For copies of this proposal, contact C. Ronald Trueworthy on (703) 
909-8550.

DATES: Comments on this proposal should be received on or before August 
24, 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.

U.S. Office of Personnel Management.
Lorraine A. Green,
Deputy Director.
[FR Doc. 94-17942 Filed 7-22-94; 8:45 am]
BILLING CODE 6325-01-M