[Federal Register Volume 74, Number 59 (Monday, March 30, 2009)]
[Notices]
[Page 14172]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-7047]


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OFFICE OF PERSONNEL MANAGEMENT


Submission for OMB Review; Request for Comments on an Existing 
Information Collection

[OMB Control No. 3206-0141; OPM Form 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) has submitted 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.
    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 by 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--
James K. Freiert,
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; and
Alexander Hunt,
OPM Desk Officer,
Office of Information & Regulatory Affairs,
Office of Management and Budget,
New Executive Office Building,
725 17th Street, NW.,
Room 10235,
Washington, DC 20503.
    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.
Kathie Ann Whipple,
Acting Director.
 [FR Doc. E9-7047 Filed 3-27-09; 8:45 am]
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