[Federal Register Volume 76, Number 250 (Thursday, December 29, 2011)]
[Notices]
[Pages 82002-82003]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-33504]


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OFFICE OF PERSONNEL MANAGEMENT


Submission for Review: Health Benefits Registration Form, OPM 
2809

AGENCY: U.S. Office of Personnel Management.

ACTION: 30-Day Notice and request for comments.

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SUMMARY: The Retirement Services, Office of Personnel Management (OPM) 
offers the general public and other federal agencies the opportunity to 
comment on an existing information collection request (ICR) 3206-0141, 
Health Benefits Election Form, OPM 2809. As required by the Paperwork 
Reduction Act of 1995 (Pub. L. 104-13, 44 U.S.C. chapter 35), as 
amended by the Clinger-Cohen Act (Pub. L. 104-106), OPM is soliciting 
comments for this collection. This information collection was 
previously published in the Federal Register on June 7, 2011 at volume 
76 FR 32996 allowing for a 60 day public comment period. We received 
comments from one organization. A response was sent to the 
organization. The purpose of this notice is to allow an additional 30 
days for public comments. The Office of Management and Budget is 
particularly interested in comments that:
    1. Evaluate whether the proposed collection of information is 
necessary for the proper performance of functions of the agency, 
including whether the information will have practical utility;
    2. Evaluate the accuracy of the agency's estimate of the burden of 
the proposed collection of information, including the validity of the 
methodology and assumptions used;
    3. Enhance the quality, utility, and clarity of the information to 
be collected; and
    4. Minimize the burden of the collection of information on those 
who are to respond, including through the use of appropriate automated, 
electronic, mechanical, or other technological collection techniques or 
other forms of information technology, e.g., permitting electronic 
submissions of responses.

DATES: Comments are encouraged and will be accepted until January 30, 
2012. This process is conducted in accordance with 5 CFR 1320.1.

ADDRESSES: Interested persons are invited to submit written comments on 
the proposed information collection to the Office of Information and 
Regulatory Affairs, Office of Management and Budget, 725 17th Street 
NW., Washington, DC 20503, Attention: Desk Officer for the Office of 
Personnel

[[Page 82003]]

Management or sent via electronic mail to [email protected] 
or faxed to (202) 395-6974.

FOR FURTHER INFORMATION CONTACT: A copy of this ICR with applicable 
supporting documentation may be obtained by contacting the Office of 
Information and Regulatory Affairs, Office of Management and Budget, 
725 17th Street NW., Washington, DC 20503, Attention: Desk Officer for 
the Office of Personnel Management or sent via electronic mail to 
[email protected] or faxed to (202) 395-6974.

SUPPLEMENTARY INFORMATION: OPM Form 2809, Health Benefits Election 
Form, is used by annuitants and former spouses to elect, cancel, 
suspend, or change health benefits enrollment during periods other than 
open season.

Analysis

    Agency: Retirement Operations, Retirement Services, Office of 
Personnel Management.
    Title: Health Benefits Election Form.
    OMB Number: 3206-0141.
    Frequency: On occasion.
    Affected Public: Individuals or households.
    Number of Respondents: 30,000.
    Estimated Time per Respondent: 45 minutes.
    Total Burden Hours: 16,667 hours.

U.S. Office of Personnel Management.
John Berry,
Director.
[FR Doc. 2011-33504 Filed 12-28-11; 8:45 am]
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