[Federal Register Volume 73, Number 231 (Monday, December 1, 2008)]
[Notices]
[Pages 72870-72871]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E8-28442]


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OFFICE OF PERSONNEL MANAGEMENT

 [OMB Control No. 3206-0141; OPM Form 2809]


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, ``Health Benefits 
Election Form'' (OMB Control No. 3206-0141; OPM Form 2809), is used by 
annuitants and former spouses to elect, cancel, suspend, or change 
health benefits enrollment during periods other than open season.
    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

[[Page 72871]]

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.
    There are approximately 30,000 changes to health benefits coverage 
per year. Of these, 20,000 are submitted on OPM Form 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 hours.
    For copies of this proposal, contact Cyrus S. Benson on (202) 606-
4808, FAX (202) 606-0910 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--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, (202) 606-0623.

Office of Personnel Management.
Howard Weizmann,
Deputy Director.
[FR Doc. E8-28442 Filed 11-28-08; 8:45 am]
BILLING CODE 6325-38-P