[Federal Register Volume 61, Number 199 (Friday, October 11, 1996)]
[Notices]
[Page 53468]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-26164]
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OFFICE OF PERSONNEL MANAGEMENT
Submission for OMB Emergency Clearance of the Revised Information
Collections: OPM 2809-EZ1 & OPM 2809-EZ2
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 has submitted to the Office of Management and
Budget a request for emergency clearance of the revised information
collections: OPM 2809-EZ1 & OPM 2809-EZ2. OPM 2809 EZ1, Enrollment
Change and Brochure Request & OPM 2809-EZ2, Open Season HB Enrollment
Change, are used by annuitants, survivor annuitants, and former spouses
of retirees during Open Season to request an enrollment change,
insurance plan brochures, and other informational materials. If OPM
Form 2809-EZ1 is used to request plan brochures, an OPM Form 2809-EZ2
is furnished to the enrollee for use if a plan change is desired.
Approximately 74,200 OPM Forms 2809-EZ1 are completed annually.
Each form requires approximately 30 minutes to complete. The annual
burden is 37,100 hours. Approximately 35,345 OPM Forms 2809-EZ2 are
completed annually. Each form requires approximately 30 minutes to
complete. The annual burden is 17,672 hours.
For copies of this proposal, contact Jim Farron on (202) 418-3208,
or E-mail to jmfarron@mail.opm.gov
DATES: Comments on this proposal should be received on or before
October 16, 1996. OMB will have 5 calendar days to act after the close
of this Federal Register Notice.
ADDRESSES: Send or deliver comments to--
Lorraine E. Dettman, Chief, Operations Support Division, Retirement and
Insurance Service, U.S. Office of Personnel Management, 1900 E Street,
NW, Room 3349, Washington, DC 20415 and
Joseph Lackey, OPM Desk Officer, Office of Information & Regulatory
Affairs, Office of Management & Budget, New Executive Office Building,
NW, Room 10235, Washington, DC 20503
FOR FURTHER INFORMATION REGARDING ADMINISTRATIVE COORDINATION--CONTACT:
Mary Beth Smith-Toomey, Management Services Division, (202) 606-0623.
U.S. Office of Personnel Management.
Lorraine A. Green,
Deputy Director.
[FR Doc. 96-26164 Filed 10-10-96; 8:45 am]
BILLING CODE 6325-01-M
