[Federal Register Volume 88, Number 63 (Monday, April 3, 2023)]
[Notices]
[Pages 19684-19685]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-06814]


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OFFICE OF PERSONNEL MANAGEMENT


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

AGENCY: Office of Personnel Management.

ACTION: 30-Day notice and request for comments.

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SUMMARY: The Healthcare & Insurance/Federal Employee Insurance 
Operations (FEIO) offers the general public and other federal agencies 
the opportunity to comment on the renewal of an expiring information 
collection request (ICR), without change, OPM 2809, Health Benefits 
Election Form.

DATES: Comments are encouraged and will be accepted until May 3, 2023.

ADDRESSES: Written comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to http://www.reginfo.gov/public/do/PRAMain. Find this 
particular information collection by selecting ``Currently under 
Review--Open for Public Comments'' or by using the search function or 
fax to (202) 395-6974.

FOR FURTHER INFORMATION CONTACT: A copy of this information collection, 
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,

[[Page 19685]]

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) 936-0401.

SUPPLEMENTARY INFORMATION: As required by the Paperwork Reduction Act 
of 1995 OPM is soliciting comments for this collection. The information 
collection (OMB No. 3206-0141) was previously published in the Federal 
Register on February 6, 2023 at 88 FR 7765, allowing for a 60-day 
public comment period. No comments were received for this collection. 
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 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 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 (written).
    OMB Number: 3206-0141.
    Frequency: On Occasion.
    Affected Public: Individuals or Households.
    Number of Respondents: 20,000.
    Estimated Time per Respondent: 30 minutes.
    Total Burden Hours: 10,000.
    Title: Health Benefits Election Form (verbal).
    Number of Respondents: 10,000.
    Estimated Time per Respondent: 10 minutes.
    Total Burden Hours: 1,667.

U.S. Office of Personnel Management.
Stephen Hickman,
Federal Register Liaison.
[FR Doc. 2023-06814 Filed 3-31-23; 8:45 am]
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