[Federal Register Volume 64, Number 119 (Tuesday, June 22, 1999)]
[Notices]
[Page 33328]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-15801]


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OFFICE OF PERSONNEL MANAGEMENT


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

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) has submitted to the Office of Management 
and Budget a request for review of an information collection. RI 78-11, 
Medicare Part B Certification, collects information from annuitants, 
their spouses, and survivor annuitants to determine their eligibility 
under the Retired Federal Employees Health Benefits Program for a 
Government contribution toward the cost of Part B Medicare.
    Approximately 100 RI 78-11 forms are completed annually. Each form 
requires approximately 10 minutes to complete for an annual estimated 
burden of 17 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 on or before July 
22, 1999.

ADDRESS: 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 and Budget, New Executive Office 
Building, NW, Room 10235, Washington, DC 20503.

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

Office of Personnel Management.
Janice R. Lachance,
Director.
[FR Doc. 99-15801 Filed 6-21-99; 8:45 am]
BILLING CODE 6325-01-P