[Federal Register Volume 75, Number 131 (Friday, July 9, 2010)]
[Notices]
[Pages 39587-39588]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-16778]
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OFFICE OF PERSONNEL MANAGEMENT
[OMB Control No. 3206-0160; SF 2809]
Proposed Collection; Request for Comments on a Revised
Information Collection
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) intends to submit to the Office of
Management and Budget (OMB) a request for comments on a revised
information collection. This information collection, ``Health Benefits
Election Form'' (OMB Control No. 3206-0160; SF 2809), 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.
Comments Are Particularly Invited on: Whether this collection of
information is necessary for the proper performance of functions of the
Office of Personnel Management, and whether it will have practical
utility; whether our estimate of the public burden of this collection
of information is accurate, and based on valid assumptions and
methodology; and ways in which we can minimize the burden of the
collection of information on those who are to respond, through the use
of appropriate technological collection techniques or other forms of
information technology.
[[Page 39588]]
Approximately 18,000 SF 2809 forms are completed annually. Each
form takes approximately 30 minutes to complete. The annual estimated
burden is 9,000 hours.
For copies of this proposal, contact Cyrus S. Benson on (202) 606-
4808, FAX (202) 606-0910 or via e-mail to [email protected]. Please
include a mailing address with your request.
DATES: Comments on this proposal should be received within 60 calendar
days from the date of this publication.
ADDRESSES: Send or deliver comments to--
Jay Fritz, Program Analysis Officer, Program Planning and
Evaluation, Retirement and Benefits/Insurance Operations, U.S. Office
of Personnel Management, 1900 E Street, NW., Room 2H22, Washington, DC
20415-3661.
For information regarding administrative coordination contact:
Cyrus S. Benson, Team Leader, Publications Team, RB/RM/Administrative
Services, (202) 606-4808.
U.S. Office of Personnel Management.
John Berry,
Director.
[FR Doc. 2010-16778 Filed 7-8-10; 8:45 am]
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