Document

Submission for Review: 3206-0141, Health Benefits Election Form, OPM 2809

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 expi...

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Office of Personnel Management

AGENCY:

Office of Personnel Management.

ACTION:

30-Day notice and request for comments.

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 http://www.reginfo.gov/public/do/PRAMain. 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, ( printed page 19685) DC 20415, Attention: Cyrus S. Benson, or sent via electronic mail to Cyrus.Benson@opm.gov 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

Legal Citation

Federal Register Citation

Use this for formal legal and research references to the published document.

88 FR 19684

Web Citation

Suggested Web Citation

Use this when citing the archival web version of the document.

“Submission for Review: 3206-0141, Health Benefits Election Form, OPM 2809,” thefederalregister.org (April 3, 2023), https://thefederalregister.org/documents/2023-06814/submission-for-review-3206-0141-health-benefits-election-form-opm-2809.