Notice2025-16457
Submission for Review: 3206-0230, Life Insurance Election, Standard Form (SF) 2817
Primary source
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Published
August 28, 2025
Issuing agencies
Personnel Management Office
Abstract
Federal Employee Insurance Operations (FEIO), Healthcare & Insurance (HI), Office of Personnel Management (OPM) offers the general public and other Federal agencies the opportunity to comment on the reinstatement of an expired information collection SF 2817--Life Insurance Election.
Full Text
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<title>Federal Register, Volume 90 Issue 165 (Thursday, August 28, 2025)</title>
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[Federal Register Volume 90, Number 165 (Thursday, August 28, 2025)]
[Notices]
[Page 42040]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-16457]
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OFFICE OF PERSONNEL MANAGEMENT
Submission for Review: 3206-0230, Life Insurance Election,
Standard Form (SF) 2817
AGENCY: Office of Personnel Management.
ACTION: 60-Day notice and request for comments.
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SUMMARY: Federal Employee Insurance Operations (FEIO), Healthcare &
Insurance (HI), Office of Personnel Management (OPM) offers the general
public and other Federal agencies the opportunity to comment on the
reinstatement of an expired information collection SF 2817--Life
Insurance Election.
DATES: Comments are encouraged and will be accepted until October 27,
2025.
ADDRESSES: You may submit comments using the Federal Rulemaking Portal:
<a href="http://www.regulations.gov">http://www.regulations.gov</a>. Follow the instructions for submitting
comments.
All submissions received must include the OMB Control Number or
title 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 information collection
request with applicable supporting documentation may be obtained by
contacting the Retirement Services Publications Team, Office of
Personnel Management, 1900 E Street NW, Room 3316-BD, Washington, DC
20415, Attention: Cyrus S. Benson, or via electronic mail to
<a href="/cdn-cgi/l/email-protection#efbdbcbf9a8d83868c8e9b8680819cbb8a8e82af809f82c1888099"><span class="__cf_email__" data-cfemail="386a6b684d5a54515b594c5157564b6c5d595578574855165f574e">[email protected]</span></a>, by fax at (202) 606-1995, or telephone at
(202) 936-0401.
SUPPLEMENTARY INFORMATION: As required by the Paperwork Reduction Act
of 1995 (44 U.S.C. chapter 35), OPM is soliciting comments for this
collection (OMB No. 3206-0230). 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.
Standard Form 2817 is used by employees and federal assignees
(those who have acquired control of an employee/annuitant's coverage
through an assignment or ``transfer'' of the ownership of the life
insurance) to elect or make changes to a life insurance election under
the Federal Employees' Group Life Insurance (FEGLI) Program. Clearance
of this form as used by active employees is not required according to
the Paperwork Reduction Act. Therefore, only the use of this form by
assignees, i.e. members of the public, is subject to the Paperwork
Reduction Act.
Analysis
Agency: Federal Employee Insurance Operations, Healthcare &
Insurance, Office of Personnel Management.
Title: Life Insurance Election.
OMB Number: 3206-0230.
Frequency: On occasion.
Affected Public: Individuals or Households.
Number of Respondents: 150.
Estimated Time per Respondent: 15 minutes.
Total Burden Hours: 38 hours.
Office of Personnel Management.
Alexys Stanley,
Federal Register Liaison.
[FR Doc. 2025-16457 Filed 8-27-25; 8:45 am]
BILLING CODE 6325-38-P
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