[Federal Register Volume 66, Number 226 (Friday, November 23, 2001)]
[Notices]
[Page 58763]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-29228]


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OFFICE OF PERSONNEL MANAGEMENT


Proposed Collection; Comment Request for Review of an Existing 
Information Collection: OPM 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 review of an existing information 
collection. OPM 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 form OPM 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, FAX (202) 418-3251 or E-mail to [email protected]. 
Please provide a mailing address with your request.

DATES: Comments on this proposal should be received on or before 
January 22, 2002.

ADDRESSES: Send or deliver comments to Ronald W. Melton, Chief, 
Operations Support Division, Retirement and Insurance Service, U.S. 
Office of Personnel Management, 1900 E Street, NW, Room 3349A, 
Washington, DC 20415-3540.

FOR INFORMATION REGARDING ADMINISTRATIVE COORDINATION--CONTACT: Donna 
G. Lease, Budget & Administrative Services Division, (202) 606-0623.

    U.S. Office of Personnel Management.
Kay Coles James,
Director.
[FR Doc. 01-29228 Filed 11-21-01; 8:45 am]
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