[Federal Register Volume 60, Number 103 (Tuesday, May 30, 1995)]
[Notices]
[Page 28183]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-13060]
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OFFICE OF PERSONNEL MANAGEMENT
[OPM Form 2809-EZ1]
Notice of Request for Review of a Revised Information Collection
AGENCY: Office of Personnel Management.
ACTION: Notice.
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SUMMARY: In accordance with the Paperwork Reduction Act of 1980 (title
44, U.S. Code, chapter 35), this notice announces a request for review
of a revised information collection. OPM Form 2809-EZ1, Enrollment
Change and Brochure Request, is used only at Open Season to request an
enrollment change, insurance plan brochures and other information
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 takes approximately 30 minutes to complete. The annual burden
is 37,100 hours.
For copies of this proposal, contact Doris R. Benz on (703) 908-
8564.
DATES: Comments on this proposal should be received on or before June
29, 1995.
ADDRESSES: Send or deliver comments to--
Lorraine E. Dettman, Chief, Retirement and Insurance Group, Operations
Support Division, U.S. Office of Personnel Management, 1900 E Street,
NW., Room 3349, Washington, DC 20415
and
Joseph Lackey, OPM Desk Officer, Office of Information and Regulatory
Affairs, Office of Management and Budget, New Executive Office
Building, NW., Room 10235, Washington, DC 20503.
FOR INFORMATION REGARDING ADMINISTRATIVE COORDINATION--CONTACT: Mary
Beth Smith-Toomey, Management Services Division, (202) 606-4025.
U.S. Office of Personnel Management.
Lorraine A. Green,
Deputy Director.
[FR Doc. 95-13060 Filed 5-26-95; 8:45 am]
BILLING CODE 6325-01-M
