[Federal Register Volume 61, Number 93 (Monday, May 13, 1996)]
[Notices]
[Page 22077]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-11865]



-----------------------------------------------------------------------


OFFICE OF PERSONNEL MANAGEMENT

Submission for OMB Review; Comment Request for Review of an 
Expiring Information Collection; RI 78-11

AGENCY: Office of Personnel Management.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: In accordance with the Paperwork Reduction Act of 1995 (Public 
Law 104-13, May 22, 1995), this notice announces that the Office of 
Personnel Management will submit to the Office of Management and Budget 
a request for a clearance of an expiring information collection. RI 78-
11, Medicare Part B Certification, is used to determine eligibility for 
a Government contribution toward the cost of Medicare Part B if 
enrolled in the Retired Federal Employees Health Benefits Program.

    We estimate 300 RI 78-11 forms are completed annually. Each form 
takes approximately 10 minutes to complete for an annual estimated 
burden of 50 hours.

I11For copies of this proposal, contact Jim Farron on (202) 418-3208, 

or E-Mail to jmfarronmail.opm.gov.DATES: Comments on this proposal 
should be received on or before June 12, 1996.

ADDRESSES: Send or deliver comments to--

Lorraine E. Dettman, Chief, Operations Support Division, Retirement and 
Insurance Service, 1900 E Street, NW, room 3349, Washington, DC 20415-
0001, and

Joseph Lackey, OPM Desk Officer, Office of Information & 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, Team Leader, Management Services Division, (202) 
606-0623.

U.S. Office of Personnel Management.

Lorraine A. Green,

Deputy Director.

[FR Doc. 96-11865 Filed 5-10-96; 8:45 am]
BILLING CODE 6325-01-M