[Federal Register Volume 66, Number 74 (Tuesday, April 17, 2001)]
[Notices]
[Pages 19805-19806]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-9478]


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OFFICE OF PERSONNEL MANAGEMENT


Proposed Collection; Comment Request for Review of a New 
Information Collection: Standard Form 2821

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 review of a new information 
collection. SF 2821, Agency Certification of Insurance Status, is 
completed by agencies when an employee's life insurance stops or is 
scheduled to stop, except when the employee voluntarily cancels 
coverage, or the employee is immediately transferring to another 
position which will provide eligibility for Federal Employees' Group 
Life Insurance (FEGLI) coverage. This collection allows agencies and/or 
the retirement system to accurately report the level of coverage and 
value of the employee's life insurance for conversion and portability 
purposes.
    The SF 2821 also will be used by family members who wish to convert 
Option C coverage, as well as by assignees and separated employees who 
wish to convert some or all of their coverages or port Option B 
coverage. Compensationers and retirees losing compensation or annuity 
benefits will use the form to convert their coverage(s). The SF 2821 
will incorporate the function of the SF 2819, Notice of Conversion 
Privilege. Upon publication of the revised SF 2821, the SF 2819 will be 
obsolete.
    Comments are particularly invited on: whether this information is 
necessary for the proper performance of functions of OPM, 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

[[Page 19806]]

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 7,500 SF 2821 forms will be completed annually. We 
estimate it takes approximately 5 minutes to complete the form. The 
annual burden is estimated at 625 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 June 
18, 2001.

ADDRESSES: Send or deliver comments to--Christopher Meuchner, Benefits 
Specialist, Insurance Policy and Information Division, Retirement and 
Insurance Service, U.S. Office of Personnel Management, 1900 E Street, 
NW., Room 3425, Washington, DC 20415.

FOR INFORMATION REGARDING ADMINISTRATIVE COORDINATION--CONTACT: Donna 
G. Lease, Team Leader, Forms Analysis and Design, Budget and 
Administrative Services Division, (202) 606-0623.

Office of Personnel Management.
Steven R. Cohen,
Acting Director.
[FR Doc. 01-9478 Filed 4-16-01; 8:45 am]
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