[Federal Register Volume 63, Number 109 (Monday, June 8, 1998)]
[Notices]
[Page 31237]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-15118]


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OFFICE OF PERSONNEL MANAGEMENT


Submission For OMB Review; Comment Request For Reclearance of an 
Information Collection: OPM Form 2809

AGENCY: Office of Personnel Management.

ACTION: Notice.

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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 (OPM) intends to submit to the Office of 
Management and Budget a request for reclearance of an information 
collection. OPM Form 2809, Health Benefits Registration Form, is used 
by annuitants and former spouses to elect, cancel, or change health 
benefits enrollment during periods other than open season.
    Comments are particularly invited on: Whether this information is 
necessary for the proper performance of functions of the Office of 
Personnel Management, and whether it will have practical utility; 
whether our estimate of the public burden of this collection of 
information is accurate, and based on valid assumptions and 
methodology; and ways in which we can minimize the burden of the 
collection of information on those who are to respond, through the use 
of appropriate technological collection techniques or other forms of 
information technology.
    Approximately 34,800 OPM Form 2809s are completed annually. We 
estimate it takes approximately 45 minutes to complete the form. The 
annual burden is 26,100 hours.
    For copies of this proposal, contact Jim Farron on (202) 418-3208, 
or E-mail to [email protected]

DATES: Comments on this proposal should be received on or before August 
7, 1998.

ADDRESS: Send or deliver comments to-- Lorraine E. Dettman, Chief, 
Operations Support Division, Retirement and Insurance Service, U.S. 
Office of Personnel Management, 1900 E Street, NW, Room 3349, 
Washington, DC 20415.

FOR INFORMATION REGARDING ADMINISTRATIVE COORDINATION-- CONTACT: Mary 
Beth Smith-Toomey, Budget & Administrative Services Division, (202) 
606-0623.

U.S. Office of Personnel Management.
Janice R. Lachance,
Director.
[FR Doc. 98-15118 Filed 6-5-98; 8:45 am]
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