[Federal Register Volume 76, Number 109 (Tuesday, June 7, 2011)]
[Pages 32996-32997]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-13980]



Submission for Review: Health Benefits Election Form (OPM 2809)

AGENCY: U.S. Office of Personnel Management.

ACTION: 60-Day Notice and request for comments.


SUMMARY: The Retirement Services, Office of Personnel Management (OPM) 
offers the general public and other Federal agencies the opportunity to 
comment on an extension, without change, of a currently approved 
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 
Office of Management and Budget is particularly interested in comments 
    1. Evaluate whether the proposed collection of information is 
necessary for the proper performance of 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.

DATES: Comments are encouraged and will be accepted until August 8, 
2011. 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 U.S. Office of Personnel 
Management, Linda Bradford (Acting) Deputy Associate Director, 
Retirement Operations, Retirement Services, 1900 E Street, NW., Room 
3305, Washington, DC 20415-3500 or sent via electronic mail to 

FOR FURTHER INFORMATION CONTACT: A copy of this ICR with applicable 
supporting documentation, may be obtained by contacting the Retirement 
Services Publications Team, Office of Personnel Management, 1900 E 

[[Page 32997]]

NW., Room 4332, Washington, DC 20415, Attention: Cyrus S. Benson, or 
sent via electronic mail to Cyrus.Benson@opm.gov or faxed to (202) 606-

SUPPLEMENTARY INFORMATION: OPM 2809 is used by annuitants and former 
spouses to elect, cancel, suspend, or change health benefits enrollment 
during periods other than open season.


    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: 45 minutes.
    Total Burden Houses: 16,667 hours.

U.S. Office of Personnel Management.
John Berry,
[FR Doc. 2011-13980 Filed 6-6-11; 8:45 am]