[Federal Register Volume 69, Number 224 (Monday, November 22, 2004)]
[Notices]
[Page 67967]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-25710]


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OFFICE OF PERSONNEL MANAGEMENT


Submission for OMB Review; Comment Request for Review of a 
Revised Information Collection: OPM Form 1530; OMB 3206-0162

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) has submitted to the Office of Management 
and Budget (OMB) a request for review of a revised information 
collection. OPM Form 1530, Report of Medical Examination of Person 
Electing Survivor Benefits Under the Civil Service Retirement System, 
is used to collect information regarding an annuitant's health so OPM 
can determine whether the insurable interest survivor benefit election 
can be allowed.
    Approximately 500 OPM Form 1530 will be completed annually. We 
estimate it takes approximately 90 minutes to complete the form. The 
annual burden is 750 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 30 calendar 
days from the date of this publication.

ADDRESSES: Send or deliver comments to--Pamela S. Israel, Chief, 
Operations Support Group, Retirement Services Program, U.S. Office of 
Personnel Management, 1900 E Street, NW., Room 3349, Washington, DC 
20415; and Joseph Lackey, OPM Desk Officer, Office of Information & 
Regulatory Affairs, Office of Management & Budget, New Executive Office 
Building, NW., Room 10235, Washington, DC 20503.

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

U.S. Office of Personnel Management.
Kay Coles James,
Director.
[FR Doc. 04-25710 Filed 11-19-04; 8:45 am]
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