[Federal Register: September 22, 1998 (Volume 63, Number 183)] [Notices] [Page 50608] From the Federal Register Online via GPO Access [wais.access.gpo.gov] [DOCID:fr22se98-118] ----------------------------------------------------------------------- OFFICE OF PERSONNEL MANAGEMENT Proposed Collection; Comment Request for Review of a Revised Information Collection SF 2809 AGENCY: Office of Personnel Management. ACTION: Notice. ----------------------------------------------------------------------- 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 intends to submit to the Office of Management and Budget a request for review of a revised information collection. SF 2809, Federal Employees Health Benefits Election Form, is used by Federal employees, certain separated former Federal employees, and former dependents of Federal employees, to enroll for health insurance coverage under the FEHB Program. Certain former spouses or former Federal employees who are eligible for enrollment under the Spouse Equity Act of 1984 (Pub. L. 98-615), and former spouse employees and former dependents who are eligible for enrollment under the Temporary Continuation of Coverage (TCC) provisions of FEHB law (5 U.S.C. 8905a) also use this form. Approximately 9,000 SF 2809 forms are completed annually. Each form takes approximately 30 minutes to complete. The annual estimated burden is 4,500 hours. 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 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 use of the appropriate technological collection techniques or other forms of information technology. For copies of this proposal, contact Mary Beth Smith-Toomey on (202) 606-8358, or E-mail to mbtoomey@opm.gov. DATES: Comments on this proposal should be received on or before November 23, 1998. ADDRESSES: Send or deliver comments to--Abby L. Block, Chief, Insurance Policy and Information Division, Retirement and Insurance Service, U.S. Office of Personnel Management, 1900 E Street, NW, Room 3425, Washington, DC 20415-0001. FOR INFORMATION REGARDING ADMINISTRATIVE COORDINATION--CONTACT: Donna G. Lease, Budget and Administrative Services Division, (202) 606-0623. Office of Personnel Management. Janice R. Lachance, Director. [FR Doc. 98-25256 Filed 9-21-98; 8:45 am] BILLING CODE 6325-01-P