Submission for Review: Health Benefits Cancellation/Suspension Confirmation, RI 79-9
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Issuing agencies
Abstract
In accordance with the Paperwork Reduction Act of 1995 (PRA), the U.S. Office of Personnel Management (OPM) is proposing approval of a collection currently in use without approval. The Office of Personnel Management (OPM), Retirement Services offers the general public and other federal agencies the opportunity to comment on the collection Health Benefits Cancellation/Suspension Confirmation, RI 79-9.
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<title>Federal Register, Volume 90 Issue 78 (Thursday, April 24, 2025)</title>
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[Federal Register Volume 90, Number 78 (Thursday, April 24, 2025)]
[Notices]
[Pages 17264-17265]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-07034]
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OFFICE OF PERSONNEL MANAGEMENT
Submission for Review: Health Benefits Cancellation/Suspension
Confirmation, RI 79-9
AGENCY: U.S. Office of Personnel Management.
ACTION: 60-Day notice and request for comments.
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SUMMARY: In accordance with the Paperwork Reduction Act of 1995 (PRA),
the U.S. Office of Personnel Management (OPM) is proposing approval of
a collection currently in use without approval. The Office of Personnel
Management (OPM), Retirement Services offers the general public and
other federal agencies the opportunity to comment on the collection
Health Benefits Cancellation/Suspension Confirmation, RI 79-9.
DATES: Comments are encouraged and will be accepted until June 23,
2025.
ADDRESSES: You may submit comments, identified by docket number and
title, by the following method:
<bullet> Federal Rulemaking Portal: <a href="https://www.regulations.gov">https://www.regulations.gov</a>.
Follow the instructions for submitting comments.
All submissions received must include the agency name and docket
number for this document. The general policy for comments and other
submissions from members of the public is to make these submissions
available for public viewing at <a href="http://www.regulations.gov">http://www.regulations.gov</a> as they are
received without change, including any personal identifiers or contact
information.
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
Street NW, Room 3316-L, Washington, DC 20415, Attention: Cyrus S.
Benson, or by email at <a href="/cdn-cgi/l/email-protection#0153525174636d68626075686e6f725564606c416e716c2f666e77"><span class="__cf_email__" data-cfemail="a6f4f5f6d3c4cacfc5c7d2cfc9c8d5f2c3c7cbe6c9d6cb88c1c9d0">[email protected]</span></a>, by fax at (202) 606-
0910, or via telephone at (202) 936-0401.
SUPPLEMENTARY INFORMATION: Annuitants who are enrolled in the Federal
Employees Health Benefit (FEHB) Program can cancel or suspend their
enrollment. The form, RI 79-9, ensures that an individual is fully
informed about the effect of a
[[Page 17265]]
cancellation of FEHB coverage. A Cancellation (Options A & B) of
enrollment within the FEHB Program will prevent the annuitant from ever
re-enrolling and will not provide them or any covered family members
under their enrollment to a free 31-day Temporary Extension of Coverage
(TEC) to convert to an individual health benefits contract or to enroll
for Temporary Continuation of Coverage. However, if the annuitant
requests to cancel their enrollment to be covered under a family
member's FEHB Program enrollment, they will be eligible to resume their
own enrollment if their coverage under the spouse's enrollment ends for
any reason. Therefore, the individual must sign the form and certify
their understanding about the effect of a cancellation on future FEHB
enrollment eligibility. A request is not processed until the signed
form is returned to OPM. RI 79-9 has been revised as follows: (1)
addition of the OMB control number, (2) updated Retirement Eligibility
and Service room number, (3) abbreviated Federal Employees Health
Benefits Program reference to FEHBP, (4) included hearing impaired
users access instructions, (5) removed all Affordable Care Act (ACA)
Minimum Essential Coverage (MEC) references, and (6) included privacy
act and public burden statements.
As required by the Paperwork Reduction Act of 1995, as amended, (44
U.S.C. chapter 35) OPM is soliciting comments for this collection (OMB
No. 3206-XXXX). The OPM is particularly interested in comments that:
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.
Analysis
Agency: Office of Personnel Management, Retirement Services.
Title: Health Benefits Cancellation/Suspension Confirmation.
OMB Number: 3206-XXXX.
Frequency: On occasion.
Affected Public: Individuals or Households.
Number of Respondents: 30,000.
Estimated Time per Respondent: 10 minutes.
Total Burden Hours: 5,000.
U.S. Office of Personnel Management.
Alexys Stanley,
Federal Register Liaison.
[FR Doc. 2025-07034 Filed 4-23-25; 8:45 am]
BILLING CODE 6325-38-P
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