[Federal Register: April 15, 2002 (Volume 67, Number 72)]
[Notices]               
[Page 18256-18257]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr15ap02-106]                         

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OFFICE OF PERSONNEL MANAGEMENT

 
Submission for OMB Review; 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 (Public 
Law 104-13, May 22, 1995), this notice announces that the Office of 
Personnel Management (OPM) has submitted to the Office of Management 
and Budget a request for 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

[[Page 18257]]

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.
    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 include your mailing address with your request.

DATES: Comments on this proposal should be received within 30 calendar 
days from the date of this publication.

ADDRESSES: Send or deliver comments to--

Ronald W. Melton, Chief, Operations Support Division, Retirement and 
Insurance Service, U.S. Office of Personnel Management, 1900 E Street, 
NW, Room 3349A, Washington, DC 20415-3540
      and
Joseph Lackey, OPM Desk Officer, Office of Information & Regulatory 
Affairs, Office of Management and Budget, New Executive Office 
Building, NW, Room 10235, Washington, DC 20503

FOR INFORMATION REGARDING ADMINISTRATIVE COORDINATION-- CONTACT:  Donna 
G. Lease, Team Leader, Desktop Publishing & Printing Team, Budget & 
Administrative Services Division, (202) 606-0623

Office of Personnel Management.
Kay Coles James,
Director.
[FR Doc. 02-9009 Filed 4-12-02; 8:45 am]
BILLING CODE 6325-50-P