Notice2023-06814
Submission for Review: 3206-0141, Health Benefits Election Form, OPM 2809
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
April 3, 2023
Issuing agencies
Personnel Management Office
Abstract
The Healthcare & Insurance/Federal Employee Insurance Operations (FEIO) offers the general public and other federal agencies the opportunity to comment on the renewal of an expiring information collection request (ICR), without change, OPM 2809, Health Benefits Election Form.
Full Text
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<title>Federal Register, Volume 88 Issue 63 (Monday, April 3, 2023)</title>
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[Federal Register Volume 88, Number 63 (Monday, April 3, 2023)]
[Notices]
[Pages 19684-19685]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-06814]
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OFFICE OF PERSONNEL MANAGEMENT
Submission for Review: 3206-0141, Health Benefits Election Form,
OPM 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) offers the general public and other federal agencies
the opportunity to comment on the renewal of an expiring information
collection request (ICR), without change, OPM 2809, Health Benefits
Election Form.
DATES: Comments are encouraged and will be accepted until May 3, 2023.
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 or
fax to (202) 395-6974.
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,
[[Page 19685]]
DC 20415, Attention: Cyrus S. Benson, or sent via electronic mail to
<a href="/cdn-cgi/l/email-protection#e3a09a919690cda1868d908c8da38c938ecd848c95"><span class="__cf_email__" data-cfemail="ecaf959e999fc2ae89829f8382ac839c81c28b839a">[email protected]</span></a> or faxed to (202) 606-0910 or via telephone at
(202) 936-0401.
SUPPLEMENTARY INFORMATION: As required by the Paperwork Reduction Act
of 1995 OPM is soliciting comments for this collection. The information
collection (OMB No. 3206-0141) was previously published in the Federal
Register on February 6, 2023 at 88 FR 7765, 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.
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 (written).
OMB Number: 3206-0141.
Frequency: On Occasion.
Affected Public: Individuals or Households.
Number of Respondents: 20,000.
Estimated Time per Respondent: 30 minutes.
Total Burden Hours: 10,000.
Title: Health Benefits Election Form (verbal).
Number of Respondents: 10,000.
Estimated Time per Respondent: 10 minutes.
Total Burden Hours: 1,667.
U.S. Office of Personnel Management.
Stephen Hickman,
Federal Register Liaison.
[FR Doc. 2023-06814 Filed 3-31-23; 8:45 am]
BILLING CODE 6325-38-P
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</html>Indexed from Federal Register on April 3, 2023.
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