[Federal Register Volume 83, Number 233 (Tuesday, December 4, 2018)]
[Notices]
[Pages 62630-62631]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-26263]


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OFFICE OF PERSONNEL MANAGEMENT


Submission for Review: Health Benefits Election Form, SF 2809

AGENCY: Office of Personnel Management.

ACTION: 60-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 a revised information collection request (ICR), Health 
Benefits Election, SF 2809.

DATES: Comments are encouraged and will be accepted until February 4, 
2019.

ADDRESSES: You may submit comments, identified by docket number and 
title, by the following method:
     Federal Rulemaking Portal: http://www.regulations.gov. 
Follow the instructions for submitting comments.
    All submissions received must include the agency name and docket 
number for this document. The general policy for comments and other 
submissions from members of the public is to make these submissions 
available for public viewing at http://www.regulations.gov as they are 
received without change, including any personal identifiers or contact 
information.

FOR FURTHER INFORMATION CONTACT: A copy of this ICR with applicable 
supporting documentation, may be obtained by contacting the Retirement 
Services Publications Team, Office of Personnel Management, 1900 E 
Street NW, Room 3316-L, Washington, DC 20415, Attention: Cyrus S. 
Benson, or sent by email to [email protected] or faxed to (202) 606-
0910.

SUPPLEMENTARY INFORMATION: 
    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 (OMB No. 3206-
0160). 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;

[[Page 62631]]

    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.
    The Health Benefits 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 Operations.

Analysis

    Agency: Federal Employee Insurance Operations, Office of Personnel 
Management.
    Title: Health Benefits Election Form.
    OMB Number: 3206-0160.
    Frequency: On Occasion.
    Affected Public: Individuals or Households.
    Number of Respondents: 18,000.
    Estimated Time per Respondent: 30 minutes.
    Total Burden Hours: 9,000.

    Office of Personnel Management.
Alexys Stanley,
Regulatory Affairs Analyst.
[FR Doc. 2018-26263 Filed 12-3-18; 8:45 am]
BILLING CODE 6325-38-P