[Federal Register Volume 59, Number 130 (Friday, July 8, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-16441]
[[Page Unknown]]
[Federal Register: July 8, 1994]
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OFFICE OF PERSONNEL MANAGEMENT
Notice of Request for Reclearance of Form DPRS 2809
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
reclearance of an information collection. Form DPRS 2809, Request to
Change FEHB Enrollment or to Receive Plan Brochures, is used by former
spouses who are eligible to elect, cancel, or change health benefits
enrollment during open season.
Approximately 15,000 forms are completed annually. The form
requires approximately 10 minutes to complete. The annual burden is
2,500 hours.
For copies of this proposal, contact C. Ronald Trueworthy on (703)
908-8550.
dates: Comments on this proposal should be received on or before August
8, 1994.
addresses: Send or deliver comments to--
Maurice O. Duckett, Retirement and Insurance Group, Fiscal Management
Division, U.S. Office of Personnel Management, 1900 E Street, NW, Room
3451, 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 3002, Washington, DC 20503.
for information regarding administrative coordination--contact: Mary
Beth Smith-Toomey, Chief, Forms Analysis & Design, (202) 606-0623.
U.S. Office of Personnel Management.
Lorraine A. Green,
Deputy Director.
[FR Doc. 94-16441 Filed 7-7-94; 8:45 am]
BILLING CODE 6325-01-M
