[Federal Register: June 9, 2004 (Volume 69, Number 111)]
[Notices]
[Page 32374]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr09jn04-101]
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OFFICE OF PERSONNEL MANAGEMENT
Proposed Collection; Comment Request for Review of a Revised
Information Collection OPM 2809
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 the review of a revised
information collection. OPM 2809, Health Benefits Registration Form, is
used by annuitants and former spouses to elect, cancel or change health
benefits enrollment during periods other than open season.
There are approximately 30,000 changes to health benefits coverage
per year. Of these, 20,000 are submitted on form OPM 2809 and 10,000
verbally or in written correspondence. Each form takes approximately 45
minutes to complete; data collection by telephone or mail takes
approximately 10 minutes. The annual burden for the form is 15,000
hours; the burden not using the form is 1,667 hours. The total burden
is 16,667.
Comments are particularly invited on: whether this 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.
For copies of this proposal, contact Mary Beth Smith-Toomey on
(202) 606-8358, FAX (202) 418-3251 or e-mail to mbtoomey@opm.gov.
Please be sure to include a mailing address with your request.
DATES: Comments on this proposal should be received by August 9, 2004.
ADDRESSES: Send or deliver comments to--Ronald W. Melton, Chief,
Operations Support Group, Retirement Services Program, Center for
Retirement & Insurance Services, U.S. Office of Personnel Management,
1900 E Street, NW., Room 3349A, Washington, DC 20415-3540.
For Information Regarding Administrative Coordination-- Contact:
Cyrus S. Benson, Team Leader, Publications Team, Administrative
Services Branch, (202) 606-0623.
U.S. Office of Personnel Management.
Kay Coles James,
Director.
[FR Doc. 04-13049 Filed 6-8-04; 8:45 am]
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