[Federal Register Volume 67, Number 39 (Wednesday, February 27, 2002)]
[Notices]
[Page 9009]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-4594]


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OFFICE OF PERSONNEL MANAGEMENT

[RI 78-11]


Proposed Collection; Comment Request for Review of a Revised 
Information Collection

AGENCY: Office of Personnel Management.

ACTION: Notice.

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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 (OPM) intends to submit to the Office of 
Management and Budget a request for review of a revised 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, Fax 202-418-3251, or via e-mail at 
[email protected].Please include a mailing address with your request.

DATES: Comments on this proposal should be received within 60 calendar 
days from the date of this publication.

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 3349, 
Washington, DC 20415.

FOR MORE INFORMATION CONTACT: Donna G. Lease, Team Leader, Desktop 
Publishing and Printing Team, Budget and Administrative Services 
Division, (202) 606-0623.

U.S. Office of Personnel Management.
Kay Coles James,
Director.
[FR Doc. 02-4594 Filed 2-26-02; 8:45 am]
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