[Federal Register Volume 69, Number 83 (Thursday, April 29, 2004)]
[Notices]
[Pages 23546-23547]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-9740]


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OFFICE OF PERSONNEL MANAGEMENT


Proposed Collection; Comment Request for Review of an Information 
Collection: SF 2817

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 (OMB) a request for review of an information 
collection. SF 2817, Life Insurance Election, is used by Federal 
employees and assignees (those who have acquired control of an 
employee/annuitant's coverage through an assignment or ``transfer'' of 
the ownership of the life insurance). The form is used as the official 
agency record of the individual's coverage and enrollment status under 
the Federal Employees' Group Life Insurance (FEGLI) program, and as an 
acknowledgement and authorization by the individual for collection from 
him or her of the enrollee share of the premium contributions.
    Comments are particularly invited on: whether this collection of 
information is necessary for the proper performance of functions of the 
Office of Personnel Management, 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 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 100 forms are completed annually by assignees. Each 
form takes approximately 15 minutes to complete. The annual estimated 
burden is 25 hours.
    For copies of this proposal, contact Mary Beth Smith-Toomey on 
(202) 606-8358, FAX (202) 418-3251 or via E-mail to [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--Christopher N. Meuchner, Life 
Insurance & Long Term Care Group, Center for Retirement and Insurance 
Services, U.S. Office of Personnel Management, 1900 E Street, NW., Room 
2H22, Washington, DC 20415-3661.

[[Page 23547]]


FOR FURTHER INFORMATION CONTACT: Cyrus S. Benson, Team Leader, 
Publications Team, Support Group, (202) 606-0623.

U.S. Office of Personnel Management
Kay Coles James,
Director.
[FR Doc. 04-9740 Filed 4-28-04; 8:45 am]
BILLING CODE 6325-38-P