[Federal Register Volume 64, Number 73 (Friday, April 16, 1999)]
[Notices]
[Pages 18945-18946]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-9528]


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OFFICE OF PERSONNEL MANAGEMENT

[OPM Form 2809]


Submission for OMB Review; Comment Request for Review of a 
Revised and Expired Information Collection

AGENCY: Office of Personnel Management.

ACTION: Notice.

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SUMMARY: In accordance with the Paperwork Reduction Act of 1995 (Pub.

[[Page 18946]]

L. 104-13, May 22, 1995), this notice announces that the Office of 
Personnel Management (OPM) will submit to the Office of Management and 
Budget a request for review of a revised and expired 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.
    There are approximately 30,000 changes to health benefits coverage 
per year. Of these, 20,000 are submitted on OPM Form 2809 and 10,000 
verbally or in written correspondence. Each form takes approximately 45 
minutes to complete; data collection by telephone or mail takes 
approximately 10 minutes. The annual burden for the form is 15,000 
hours; the burden not using the form is 1,667 hours. The total burden 
is 16,667.
    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 on or before May 
17, 1999.

ADDRESSES: Send or deliver comments to--

Dennis A. Matteotti, Acting Chief, Operations Support Division, 
Retirement and Insurance Service, U.S. Office of Personnel Management, 
1900 E Street, NW, Room 3349, Washington, DC 20415
    and
Joseph Lackey, OPM Desk Officer, Office of Information & Regulatory 
Affairs, Office of Management & Budget, New Executive Office Building, 
NW, Room 10235, Washington, DC 20503

FOR INFORMATION REGARDING ADMINISTRATIVE COORDINATION CONTACT: Phyllis 
R. Pinkney, Budget & Administrative Services Division, (202) 606-0623.

Office of Personnel Management.
Janice R. Lachance,
Director.
[FR Doc. 99-9528 Filed 4-15-99; 8:45 am]
BILLING CODE 6325-01-U