[Federal Register Volume 60, Number 103 (Tuesday, May 30, 1995)]
[Notices]
[Page 28183]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-13060]



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OFFICE OF PERSONNEL MANAGEMENT
[OPM Form 2809-EZ1]


Notice of Request for Review of a Revised Information Collection

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 review 
of a revised 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 information 
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 74,200 OPM Forms 2809-EZ1 are completed annually. 
Each form takes approximately 30 minutes to complete. The annual burden 
is 37,100 hours.
    For copies of this proposal, contact Doris R. Benz on (703) 908-
8564.

DATES: Comments on this proposal should be received on or before June 
29, 1995.

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 10235, Washington, DC 20503.

FOR INFORMATION REGARDING ADMINISTRATIVE COORDINATION--CONTACT: Mary 
Beth Smith-Toomey, Management Services Division, (202) 606-4025.

U.S. Office of Personnel Management.
Lorraine A. Green,
Deputy Director.
[FR Doc. 95-13060 Filed 5-26-95; 8:45 am]
BILLING CODE 6325-01-M