Notice2022-09410
Submission for Review: Health Benefits Election Form, Standard Form 2809
Primary source
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Published
May 3, 2022
Issuing agencies
Personnel Management Office
Abstract
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 an expiring information collection without change, Health Benefits Election Form, Standard Form 2809.
Full Text
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<title>Federal Register, Volume 87 Issue 85 (Tuesday, May 3, 2022)</title>
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[Federal Register Volume 87, Number 85 (Tuesday, May 3, 2022)]
[Notices]
[Page 26237]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2022-09410]
[[Page 26237]]
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OFFICE OF PERSONNEL MANAGEMENT
Submission for Review: Health Benefits Election Form, Standard
Form 2809
AGENCY: Office of Personnel Management.
ACTION: 30-Day notice and request for comments.
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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
an expiring information collection without change, Health Benefits
Election Form, Standard Form 2809.
DATES: Comments are encouraged and will be accepted until June 2, 2022.
ADDRESSES: Written comments and recommendations for the proposed
information collection should be sent within 30 days of publication of
this notice to <a href="http://www.reginfo.gov/public/do/PRAMain">http://www.reginfo.gov/public/do/PRAMain</a>. Find this
particular information collection by selecting ``Currently under
Review--Open for Public Comments'' or by using the search function.
FOR FURTHER INFORMATION CONTACT: A copy of this information collection,
with applicable supporting documentation, may be obtained by contacting
the Retirement Services Publications Team, Office of Personnel
Management, 1900 E Street NW, Room 3316-L, Washington, DC 20415,
Attention: Cyrus S. Benson, or sent via electronic mail to
<a href="/cdn-cgi/l/email-protection#591a202b2c2a771b3c372a363719362934773e362f"><span class="__cf_email__" data-cfemail="387b414a4d4b167a5d564b575678574855165f574e">[email protected]</span></a> or faxed to (202) 606-0910 or via telephone at
(202) 606-4808.
SUPPLEMENTARY INFORMATION: As required by the Paperwork Reduction Act
of 1995 OPM is soliciting comments for this collection. The information
collection (OMB No. 3206-0160) was previously published in the Federal
Register on November 1, 2021, at 86 FR 60304, allowing for a 60-day
public comment period. No comments were received for this collection.
The purpose of this notice is to allow an additional 30 days for public
comments. 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.
Standard Form 2809 is used by Federal employees, annuitants other
than those under the Civil Service Retirement System (CSRS) and the
Federal Employees Retirement System (FERS) including individuals
receiving benefits from the Office of Workers' Compensation Programs,
former spouses eligible for benefits under the Spouse Equity Act of
1984, and separated employees and former dependents eligible to enroll
under the Temporary Continuation of Coverage provisions of the FEHB law
(5 U.S.C. 8905a). A different form (OPM 2809) is used by CSRS and FERS
annuitants whose health benefit enrollments are administered by OPM's
Retirement Operations.
Analysis
Agency: Federal Employee Insurance Operations, Office of Personnel
Management.
Title: Health Benefits Election Form.
OMB Number: 3206-0160.
Frequency: On Occasion.
Affected Public: Individuals or Households.
Number of Respondents: 18,000.
Estimated Time per Respondent: 30 minutes.
Total Burden Hours: 9,000.
U.S. Office of Personnel Management.
Kellie Cosgrove Riley,
Director, Office of Privacy and Information Management.
[FR Doc. 2022-09410 Filed 5-2-22; 8:45 am]
BILLING CODE 6325-38-P
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