SUPPLEMENTARY INFORMATION:

As required by the Paperwork Reduction Act, as amended, 44 U.S.C. Chapter 35, OPM is soliciting comments for this collection. 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.

Background

OPM is collecting information from tribal employers applying to participate in the FEHB Program under 25 U.S.C. 1647b and subpart N of 5 CFR part 890. OPM defines “tribal employer” in 5 CFR 890.1402 to include an Indian tribe or tribal organization carrying out at least one program under the Indian Self-Determination and Education Assistance Act or the Tribally Controlled Schools Act; or an urban Indian organization carrying out at least one program under title V of the Indian Health Care Improvement Act. A tribal employer must be entitled to purchase coverage, rights, and benefits under the FEHB Program for their tribal employees. Once a tribal employer elects to participate in the FEHB Program in compliance with 5 CFR 890.1404, a tribal employee who is considered a common law employee and meets FEHB requirements for the type of employment ( e.g., full-time, seasonal) will become eligible to enroll in FEHB pursuant to 5 CFR 890.1405.

This collection consists of information identifying the tribal employer and its representatives for FEHB purposes, key tribal personnel, billing unit and bank account information, and a tribal employer profile. Collection of this information is necessary to ensure the validity of a program application and to facilitate enrollment in the FEHB Program. The information is not published.

Analysis

Agency: Office of Personnel Management.

Title: Federal Employees Health Benefit (FEHB) Program Tribal Employer Application.

OMB Number: 3206-NEW.

Frequency: Once.

Affected Public: Tribal employers (tribes, tribal organizations, tribally controlled schools, and urban Indian organizations) eligible to participate in FEHB.

Number of Respondents: 75.

Estimated Time per Respondent: 135 minutes or 2.25 hours.

Total Burden Hours: 168.75.

91 FR 66171