[Federal Register Volume 88, Number 24 (Monday, February 6, 2023)]
[Notices]
[Pages 7765-7766]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-02480]


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OFFICE OF PERSONNEL MANAGEMENT


Submission for Review: Health Benefits Election Form, OPM 2809, 
3206-0141

AGENCY: Office of Personnel Management.

ACTION: 60-Day notice and request for comments.

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SUMMARY: Retirement Services, Office of Personnel Management (OPM) 
offers the general public and other federal agencies the opportunity to 
comment on the renewal of an expiring information collection request 
(ICR), without change, Health Benefits Election Form (OPM 2809).

DATES: Comments are encouraged and will be accepted until April 7, 
2023.

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 via electronic mail to [email protected] or faxed to 
(202) 606-0910 or via telephone at (202) 606-4808.

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. 3206-0141). The Office of

[[Page 7766]]

Management and Budget is particularly interested in comments that:
    1. Evaluate whether the proposed collection of information is 
necessary for the proper performance of the 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.
    OPM 2809, Health Benefits Election, is used by annuitants and 
former spouses to elect, cancel, suspend, or change health benefits 
enrollment during periods other than open season.

Analysis

    Agency: Federal Employee Insurance Operations, 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 (Forms = 20,000; Verbal/Written 
collection = 10,000).
    Estimated Time per Respondent: 30 minutes (Telephone/Mail 
collection = 10 mins).
    Total Burden Hours: 11,667 hours.

    U.S. Office of Personnel Management.
Stephen Hickman,
Federal Register Liaison.
[FR Doc. 2023-02480 Filed 2-3-23; 8:45 am]
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