[Federal Register Volume 64, Number 18 (Thursday, January 28, 1999)]
[Pages 4476-4477]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-1959]



[SF 2809-1]

Submission for OMB Review; Comment Request for Review of a New 
Information Collection

AGENCY: Office of Personnel Management.

ACTION: Notice.


SUMMARY: In accordance with the Paperwork Reduction Act of 1995 (Pub. 
L. 104-13, May 22, 1995), this notice announces that the Office of 
Personnel Management has submitted to the Office of Management and 
Budget a request for a new information collection. SF 2809-1, 
Annuitant/OWCP Health Benefits Election Form, will be used by 
annuitants of Federal retirement systems other than the Civil Service 
Retirement System (CSRS) and the Federal Employees Retirement System 
(FERS), including the Foreign Service Retirement System and the Office 
of Workers' Compensation Programs (OWCP), and certain former dependents 
of these individuals. These former dependents include certain former 
spouses who are eligible for enrollment under the Spouse Equity Act of 
1984 (Pub. L. 98-615), and certain former dependents who are eligible 
for enrollment under the Temporary Continuation of Coverage (TCC) 
provisions of FEHB law (5 U.S.C. 8905a).
    Approximately 9,000 SF 2809-1 forms will be completed annually. 
Each form will take approximately 30 minutes to complete. The annual 
estimated burden will be 4,500 hours.
    For copies of this proposal, contact Mary Beth Smith-Toomey on 
(202) 606-8358, or E-mail to [email protected].

DATES: Comments on this proposal should be received by March 1, 1999.

ADDRESSES: Send or deliver comments to--

Abby L. Block, Chief, Insurance Policy and Information Division, 
Retirement and Insurance Service, U.S. Office of Personnel Management, 
1900 E Street, NW, Room 3425, Washington, DC 20415-0001, 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

G. Lease, Budget & Administrative Services Division, (202) 606-0623.

[[Page 4477]]

Office of Personnel Management.
Janice R. Lachance,
[FR Doc. 99-1959 Filed 1-27-99; 8:45 am]