98-25256. Proposed Collection; Comment Request for Review of a Revised Information Collection SF 2809

[Federal Register Volume 63, Number 183 (Tuesday, September 22, 1998)]
[Notices]
[Page 50608]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-25256]


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OFFICE OF PERSONNEL MANAGEMENT


Proposed Collection; Comment Request for Review of a Revised 
Information Collection SF 2809

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 review of a revised information collection. SF 
2809, Federal Employees Health Benefits Election Form, is used by 
Federal employees, certain separated former Federal employees, and 
former dependents of Federal employees, to enroll for health insurance 
coverage under the FEHB Program. Certain former spouses or former 
Federal employees who are eligible for enrollment under the Spouse 
Equity Act of 1984 (Pub. L. 98-615), and former spouse employees and 
former dependents who are eligible for enrollment under the Temporary 
Continuation of Coverage (TCC) provisions of FEHB law (5 U.S.C. 8905a) 
also use this form.
    Approximately 9,000 SF 2809 forms are completed annually. Each form 
takes approximately 30 minutes to complete. The annual estimated burden 
is 4,500 hours.
    Comments are particularly invited on:

--Whether this collection of 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 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 use of the appropriate 
technological collection techniques or other forms of information 
technology.

    For copies of this proposal, contact Mary Beth Smith-Toomey on 
[phone], or E-mail to [e-mail].

DATES: Comments on this proposal should be received on or before 
November 23, 1998.

ADDRESSES: Send or deliver comments to--Abby L. Block, Chief, Insurance 
Policy and Information Division, Retirement and Insurance Service, U.S. 
Office of Personnel Management, 1900 E Street, NW, Room 3425, 
Washington, DC 20415-0001.

FOR INFORMATION REGARDING ADMINISTRATIVE COORDINATION--CONTACT: Donna 
G. Lease, Budget and Administrative Services Division, [phone].

Office of Personnel Management.
Janice R. Lachance,
Director.
[FR Doc. 98-25256 Filed 9-21-98; 8:45 am]
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