96-11866. Proposed Collection; Comment Request for Review of a Revised Information Collection; OPM 2809-EZ1

[Federal Register Volume 61, Number 93 (Monday, May 13, 1996)]
[Notices]
[Pages 22076-22077]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-11866]



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OFFICE OF PERSONNEL MANAGEMENT


Proposed Collection; Comment Request for Review of a Revised 
Information Collection; OPM 2809-EZ1

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 intends to submit to the Office of Management and 
Budget a request for clearance of a revised information collection. OPM 
2809-EZ1, Enrollment Change and Brochure Request, is used only at 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.
    For copies of this proposal, contact Jim Farron on [phone], 
or E-mail to [e-mail]

DATES: Comments on this proposal should be received on or before July 
12, 1996.


[[Page 22077]]


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.

FOR INFORMATION REGARDING ADMINISTRATIVE COORDINATION--CONTACT: Mary 
Beth Smith-Toomey, Management Services Division, [phone].

U.S. Office of Personnel Management.
Lorraine A. Green,
Deputy Director.
[FR Doc. 96-11866 Filed 5-10-96; 8:45 am]
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