[Federal Register: January 18, 2002 (Volume 67, Number 13)]
[Notices]
[Page 2704]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr18ja02-98]
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OFFICE OF PERSONNEL MANAGEMENT
Proposed Collection; Comment Request for Review of an Expiring
Information Collection: SF 2809-1
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 intends to submit to the Office of Management and
Budget a request for review of an expiring collection. SF 2809-1,
Annuitant/OWCP Health Benefits Election Form, is used by annuitants of
Federal retirement systems other than the Civil Service Retirement
System (CSRS) and the Federal Employees Retirement System (FERS),
including the Foreign Service Retirement System and the Office of
Workers' Compensation Programs (OWCP), and certain former dependents of
these individuals. These former dependents include certain former
spouses who are eligible for enrollment under the Spouse Equity Act of
1984 (Pub. L. 98-615), and certain former dependents who are eligible
for enrollment under the Temporary Continuation of Coverage (TCC)
provisions of FEHB law (5 U.S.C. 8905a).
Approximately 9,000 SF 2809-1 forms are completed annually. Each
form takes approximately 30 minutes to complete. The annual estimated
burden will be 4,500 hours.
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 include a mailing address with your request.
DATES: Comments on this proposal should be received on or before March
19, 2002.
ADDRESSES: Send or deliver comments to--Abby L. Block, Assistant
Director, Office of Insurance Programs, Retirement and Insurance
Service, U.S. Office of Personnel Management, 1900 E Street, NW, Room
3400, Washington, DC 20415.
For Information Regarding Administrative Coordination--Contact: Donna
G. Lease, Team Leader, Forms Analysis & Design, Budget & Administrative
Services Division, (202) 606-0623.
Office of Personnel Management.
Kay Coles James,
Director.
[FR Doc. 02-1325 Filed 1-17-02; 8:45 am]
BILLING CODE 6325-50-P