[Federal Register Volume 72, Number 102 (Tuesday, May 29, 2007)]
[Notices]
[Pages 29557-29558]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E7-10203]


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OFFICE OF PERSONNEL MANAGEMENT


Proposed Collection; Comment Request for the Extension of a 
Currently Approved Information Collection: SF 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 extension of a currently 
approved information collection. SF 2809, Health Benefit Election Form, 
is used by Federal employees, annuitants other than those under the 
Civil Service Retirement System (CSRS) and the Federal Employees 
Retirement System (FERS) [including individuals receiving benefits from 
the Office of Workers' Compensation Programs], former spouses eligible 
for benefits under the Spouse Equity Act of 1984, and separated 
employees and former dependents eligible to enroll under the Temporary 
Continuation of Coverage provisions of the FEHB law (5 U.S.C. 8905a). A 
different form (OPM 2809) is used by CSRS and FERS annuitants whose 
health benefit enrollments are administered by OPM's Retirement 
Services Program.
    Approximately 18,000 SF 2809 forms are completed annually. Each 
form takes approximately 30 minutes to complete. The annual estimated 
burden is 9,000 hours.
    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 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--Jay Fritz, Insurance Services 
Program, Center for Retirement and Insurance Services, U.S. Office of 
Personnel Management, 1900 E Street, NW., Room 3415, Washington, DC 
20415.

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


[[Page 29558]]


    U.S. Office of Personnel Management.
Tricia Hollis,
Chief of Staff.
[FR Doc. E7-10203 Filed 5-25-07; 8:45 am]
BILLING CODE 6325-38-P