[Federal Register Volume 69, Number 111 (Wednesday, June 9, 2004)]
[Notices]
[Page 32374]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-13049]


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OFFICE OF PERSONNEL MANAGEMENT


Proposed Collection; Comment Request for Review of a Revised 
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 (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 the review of a revised 
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.
    Comments are particularly invited on: whether this 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.
    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 be sure to include a mailing address with your request.

DATES: Comments on this proposal should be received by August 9, 2004.

ADDRESSES: Send or deliver comments to--Ronald W. Melton, Chief, 
Operations Support Group, Retirement Services Program, Center for 
Retirement & Insurance Services, U.S. Office of Personnel Management, 
1900 E Street, NW., Room 3349A, Washington, DC 20415-3540.
    For Information Regarding Administrative Coordination-- Contact: 
Cyrus S. Benson, Team Leader, Publications Team, Administrative 
Services Branch, (202) 606-0623.

U.S. Office of Personnel Management.
Kay Coles James,
Director.
[FR Doc. 04-13049 Filed 6-8-04; 8:45 am]
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