[Federal Register Volume 73, Number 184 (Monday, September 22, 2008)]
[Notices]
[Page 54642]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E8-22111]


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OFFICE OF PERSONNEL MANAGEMENT

[OMB Control No. 3206-0017; Form RI 78-11]


Proposed Information Collection; Request for Comments on an 
Existing 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 (OMB) a request for review of an existing 
information collection. This information collection, ``Medicare Part B 
Certification'' (OMB Control No. 3206-0017; Form RI 78-11), 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 of Medicare.
    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 RI 78-11 forms are completed annually. Each form 
requires approximately 10 minutes to complete. The annual estimated 
burden is 17 hours.
    For copies of this proposal, contact Margaret A. Miller by 
telephone at (202) 606-2699, by FAX (202) 418-3251, or by 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 of the date of this publication.

ADDRESSES: Send or deliver comments to--
    Ronald W. Melton, Deputy Assistant Director, Retirement Services 
Program, Center for Retirement and Insurance Services, U.S. Office of 
Personnel Management, 1900 E Street, NW., Room 3305, Washington, DC 
20415-3500.
    For Information Regarding Administrative Coordination--
    Contact: Cyrus S. Benson, Team Leader, Publications Team, RIS 
Support Services/Support Group, U.S. Office of Personnel Management, 
1900 E Street, NW., Room 4H28, Washington, DC 20415, (202) 606-0623.

U.S. Office of Personnel Management.
Howard Weizmann,
Deputy Director.
[FR Doc. E8-22111 Filed 9-19-08; 8:45 am]
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