[Federal Register Volume 80, Number 224 (Friday, November 20, 2015)]
[Notices]
[Page 72752]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-29584]


=======================================================================
-----------------------------------------------------------------------

OFFICE OF PERSONNEL MANAGEMENT


Submission for Review: Health Benefits Election Form, OPM 2809, 
3206-0141

AGENCY: Office of Personnel Management.

ACTION: 30-Day notice and request for comments.

-----------------------------------------------------------------------

SUMMARY: The Healthcare & Insurance/Federal Employee Insurance 
Operations (FEIO), Office of Personnel Management (OPM) offers the 
general public and other Federal agencies the opportunity to comment on 
a revised information collection request (ICR) 3206-0141, Health 
Benefits Election Form. As required by the Paperwork Reduction Act of 
1995, (Pub. L. 104-13, 44 U.S.C. chapter 35) as amended by the Clinger-
Cohen Act (Pub. L. 104-106), OPM is soliciting comments for this 
collection. The information collection was previously published in the 
Federal Register on July 8, 2015 at Volume 80 FR 339165 allowing for a 
60-day public comment period. No comments were received for this 
information collection. The purpose of this notice is to allow an 
additional 30 days for public comments.

DATES: Comments are encouraged and will be accepted until December 21, 
2015. This process is conducted in accordance with 5 CFR 1320.1.

ADDRESSES: Interested persons are invited to submit written comments on 
the proposed information collection to the Office of Information and 
Regulatory Affairs, Office of Management and Budget, 725 17th Street 
NW., Washington, DC 20503, Attention: Desk Officer for the Office of 
Personnel Management or sent via email to [email protected] 
or faxed to (202) 395-6974.

FOR FURTHER INFORMATION CONTACT: A copy of this ICR, with applicable 
supporting documentation, may be obtained by contacting the Office of 
Information and Regulatory Affairs, Office of Management and Budget, 
725 17th Street NW., Washington, DC 20503, Attention: Desk Officer for 
the Office of Personnel Management or sent via email to 
[email protected] or faxed to (202) 395-6974.

SUPPLEMENTARY INFORMATION: The Office of Management and Budget is 
particularly interested in comments that:
    1. Evaluate whether the proposed collection of information is 
necessary for the proper performance of the functions of the agency, 
including whether the information will have practical utility;
    2. Evaluate the accuracy of the agency's estimate of the burden of 
the proposed collection of information, including the validity of the 
methodology and assumptions used;
    3. Enhance the quality, utility, and clarity of the information to 
be collected; and
    4. Minimize the burden of the collection of information on those 
who are to respond, including through the use of appropriate automated, 
electronic, mechanical, or other technological collection techniques or 
other forms of information technology, e.g., permitting electronic 
submissions of responses.
    OPM 2809, Health Benefits Election form, is used by annuitants and 
former spouses to elect, cancel, suspend, or change health benefits 
enrollment during periods other than open season.

Analysis

    Agency: Retirement Operations, Retirement Services, Office of 
Personnel Management.
    Title: Health Benefits Election Form.
    OMB Number: 3206-0141.
    Frequency: On Occasion.
    Affected Public: Individuals or Households.
    Number of Respondents: 30,000.
    Estimated Time per Respondent: 30 minutes.
    Total Burden Hours: 11,667.

U.S. Office of Personnel Management.
Beth F. Cobert,
Acting Director.
[FR Doc. 2015-29584 Filed 11-19-15; 8:45 am]
BILLING CODE 6325-38-P