80_FR_33105 80 FR 32994 - Submission for Review: Standard Form 2809, Health Benefits Election Form, 3206-0160

80 FR 32994 - Submission for Review: Standard Form 2809, Health Benefits Election Form, 3206-0160

OFFICE OF PERSONNEL MANAGEMENT

Federal Register Volume 80, Issue 111 (June 10, 2015)

Page Range32994-32994
FR Document2015-14223

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 a revised information collection request (ICR) 3206-0160, 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.

Federal Register, Volume 80 Issue 111 (Wednesday, June 10, 2015) 
[Federal Register Volume 80, Number 111 (Wednesday, June 10, 2015)]
[Notices]
[Page 32994]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-14223]


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OFFICE OF PERSONNEL MANAGEMENT


Submission for Review: Standard Form 2809, Health Benefits 
Election Form, 3206-0160

AGENCY: Office of Personnel Management.

ACTION: 60-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 
a revised information collection request (ICR) 3206-0160, 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.

DATES: Comments are encouraged and will be accepted until August 10, 
2015. 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 the Healthcare & Insurance/FEIO, 
Office of Personnel Management, 1900 E. Street NW., Room 3450-M, 
Washington, DC 20415, Attention: Jay Fritz or sent by email to 
[email protected].

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-AC, Washington, DC 20503, Attention: Cyrus S. 
Benson or sent by email to [email protected].

SUPPLEMENTARY INFORMATION: 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.
    The Health Benefits Election Form 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.
Katherine Archuleta,
Director.
[FR Doc. 2015-14223 Filed 6-9-15; 8:45 am]
 BILLING CODE 6325-38-P

32994 Federal Register / Vol. 80, No. 111 / Wednesday, June 10, 2015 / Notices free call at 1–866–672–7640. The NRC Attorney for licensee: J. Bradley particularly interested in comments Meta System Help Desk is available Fewell, Esquire, Vice President and that: between 8:00 a.m. and 8:00 p.m., Deputy General Counsel, Exelon 1. Evaluate whether the proposed Eastern Time, Monday through Friday, Generation Company, LLC, 4300 collection of information is necessary excluding government holidays. Winfield Rd., Warrenville, IL 60555. for the proper performance of the Participants who believe that they NRC Branch Chief: Douglas A. functions of the agency, including have a good cause for not submitting Broaddus. whether the information will have documents electronically must file an Dated at Rockville, Maryland, this 2nd day practical utility; exemption request, in accordance with of June 2015. 10 CFR 2.302(g), with their initial paper 2. Evaluate the accuracy of the For the Nuclear Regulatory Commission. filing requesting authorization to agency’s estimate of the burden of the continue to submit documents in paper Richard B. Ennis, proposed collection of information, format. Such filings must be submitted Senior Project Manager, Plant Licensing including the validity of the by: (1) First class mail addressed to the Branch I–2, Division of Operating Reactor methodology and assumptions used; Licensing, Office of Nuclear Reactor Office of the Secretary of the Regulation. 3. Enhance the quality, utility, and Commission, U.S. Nuclear Regulatory clarity of the information to be [FR Doc. 2015–14139 Filed 6–9–15; 8:45 am] Commission, Washington, DC 20555– collected; and BILLING CODE 7590–01–P 0001, Attention: Rulemaking and Adjudications Staff; or (2) courier, 4. Minimize the burden of the express mail, or expedited delivery collection of information on those who service to the Office of the Secretary, OFFICE OF PERSONNEL are to respond, including through the Sixteenth Floor, One White Flint North, MANAGEMENT use of appropriate automated, 11555 Rockville Pike, Rockville, electronic, mechanical, or other Maryland, 20852, Attention: Submission for Review: Standard technological collection techniques or Rulemaking and Adjudications Staff. Form 2809, Health Benefits Election other forms of information technology, Participants filing a document in this Form, 3206–0160 e.g., permitting electronic submissions manner are responsible for serving the of responses. AGENCY: Office of Personnel document on all other participants. Management. The Health Benefits Election Form is Filing is considered complete by first- ACTION: 60-Day Notice and request for used by Federal employees, annuitants class mail as of the time of deposit in comments. other than those under the Civil Service the mail, or by courier, express mail, or Retirement System (CSRS) and the expedited delivery service upon SUMMARY: The Healthcare & Insurance/ Federal Employees Retirement System depositing the document with the Federal Employee Insurance Operations (FERS) including individuals receiving provider of the service. A presiding (FEIO), Office of Personnel Management benefits from the Office of Workers’ officer, having granted an exemption (OPM) offers the general public and Compensation Programs, former spouses request from using E-Filing, may require other federal agencies the opportunity to eligible for benefits under the Spouse a participant or party to use E-Filing if comment on a revised information Equity Act of 1984, and separated the presiding officer subsequently collection request (ICR) 3206–0160, employees and former dependents determines that the reason for granting Health Benefits Election Form. As eligible to enroll under the Temporary the exemption from use of E-Filing no required by the Paperwork Reduction Continuation of Coverage provisions of longer exists. Act of 1995, (Pub. L. 104–13, 44 U.S.C. the FEHB law (5 U.S.C. 8905a). A Documents submitted in adjudicatory chapter 35) as amended by the Clinger- different form (OPM 2809) is used by proceedings will appear in the NRC’s Cohen Act (Pub. L. 104–106), OPM is CSRS and FERS annuitants whose electronic hearing docket which is soliciting comments for this collection. health benefit enrollments are available to the public at http:// DATES: Comments are encouraged and administered by OPM’s Retirement ehd1.nrc.gov/ehd, unless excluded will be accepted until August 10, 2015. Operations. pursuant to an order of the Commission, This process is conducted in accordance or the presiding officer. Participants are with 5 CFR 1320.1. Analysis requested not to include personal ADDRESSES: Interested persons are privacy information, such as social Agency: Federal Employee Insurance invited to submit written comments on Operations, Office of Personnel security numbers, home addresses, or the proposed information collection to home phone numbers in their filings, Management. the Healthcare & Insurance/FEIO, Office unless an NRC regulation or other law Title: Health Benefits Election Form. of Personnel Management, 1900 E. requires submission of such Street NW., Room 3450–M, Washington, OMB Number: 3206–0160. information. However, in some DC 20415, Attention: Jay Fritz or sent by instances, a request to intervene will Frequency: On Occasion. email to Jay.Fritz@opm.gov. require including information on local Affected Public: Individuals or FOR FURTHER INFORMATION CONTACT: A Households. residence in order to demonstrate a proximity assertion of interest in the copy of this ICR, with applicable supporting documentation, may be Number of Respondents: 18,000. proceeding. With respect to copyrighted works, except for limited excerpts that obtained by contacting the Retirement Estimated Time Per Respondent: 30 asabaliauskas on DSK5VPTVN1PROD with NOTICES serve the purpose of the adjudicatory Services Publications Team, Office of minutes. filings and would constitute a Fair Use Personnel Management, 1900 E. Street Total Burden Hours: 9,000. application, participants are requested NW., Room 3316–AC, Washington, DC 20503, Attention: Cyrus S. Benson or U.S. Office of Personnel Management. not to include copyrighted materials in sent by email to Cyrus.Benson@ Katherine Archuleta, their submission. For further details with respect to this action, see the opm.gov. Director. application for license amendment SUPPLEMENTARY INFORMATION: The Office [FR Doc. 2015–14223 Filed 6–9–15; 8:45 am] dated May 29, 2015. of Management and Budget is BILLING CODE 6325–38–P VerDate Sep<11>2014 16:46 Jun 09, 2015 Jkt 235001 PO 00000 Frm 00066 Fmt 4703 Sfmt 9990 E:\FR\FM\10JNN1.SGM 10JNN1


Document Created: 2015-12-15 15:17:40
Document Modified: 2015-12-15 15:17:40
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
Action60-Day Notice and request for comments.
DatesComments are encouraged and will be accepted until August 10, 2015. This process is conducted in accordance with 5 CFR 1320.1.
ContactA 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-AC, Washington, DC 20503, Attention: Cyrus S. Benson or sent by email to [email protected]
FR Citation80 FR 32994 
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