Submission for Review: Health Benefits Election Form, Standard Form 2809, 11141 [2019-05559]

Download as PDF Federal Register / Vol. 84, No. 57 / Monday, March 25, 2019 / Notices 4. How can the burden of the information collection on respondents be minimized, including the use of automated collection techniques or other forms of information technology? Dated at Rockville, Maryland, this 20th day of March 2019. For the Nuclear Regulatory Commission. David C. Cullison, NRC Clearance Officer, Office of the Chief Information Officer. [FR Doc. 2019–05605 Filed 3–22–19; 8:45 am] BILLING CODE 7590–01–P OFFICE OF PERSONNEL MANAGEMENT Submission for Review: Health Benefits Election Form, Standard Form 2809 Office of Personnel Management. ACTION: 30-Day notice and request for comments. AGENCY: 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, Health Benefits Election Form, Standard Form 2809. DATES: Comments are encouraged and will be accepted until April 24, 2019. ADDRESSES: Interested persons are invited to submit written comments on the proposed information collection to the Office of Information and Regulatory Affairs, Office of Management and Budget, 725 17th Street NW, Washington, DC 20503, Attention: Desk Officer for the Office of Personnel Management or sent via electronic mail to oira_submission@omb.eop.gov or faxed 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, 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) 606–4808. SUPPLEMENTARY INFORMATION: As required by the Paperwork Reduction Act of 1995 OPM is soliciting comments for this collection. The information collection (OMB No. 3206–0160) was previously published in the Federal Register on December 4, 2018, at 83 FR 62630, allowing for a 60-day public SUMMARY: VerDate Sep<11>2014 16:47 Mar 22, 2019 Jkt 247001 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. Standard Form 2809 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. Office of Personnel Management. Alexys Stanley, Regulatory Affairs Analyst. BILLING CODE 6325–38–P PO 00000 Frm 00097 Fmt 4703 Sfmt 4703 SECURITIES AND EXCHANGE COMMISSION [Release No. 34–85363; File No. SR– NYSEARCA–2019–13] Self-Regulatory Organizations; NYSE Arca, Inc.; Notice of Filing and Immediate Effectiveness of Proposed Rule Change Amending Commentary .02 to Rule 6.72–O To Specify That Replacement Issues May Be Added to the Penny Pilot Quarterly March 19, 2019. Pursuant to Section 19(b)(1) 1 of the Securities Exchange Act of 1934 (the ‘‘Act’’) 2 and Rule 19b–4 thereunder,3 notice is hereby given that, on March 7, 2019, NYSE Arca, Inc. (‘‘NYSE Arca’’ or the ‘‘Exchange’’) filed with the Securities and Exchange Commission (the ‘‘Commission’’) the proposed rule change as described in Items I and II below, which Items have been prepared by the self-regulatory organization. The Commission is publishing this notice to solicit comments on the proposed rule change from interested persons. I. Self-Regulatory Organization’s Statement of the Terms of Substance of the Proposed Rule Change The Exchange proposes to amend Commentary .02 to Rule 6.72–O to specify that replacement issues may be added to the Penny Pilot (‘‘Pilot’’) on a quarterly basis, without altering the expiration date of the Pilot, which is June 30, 2019. The proposed rule change is available on the Exchange’s website at www.nyse.com, at the principal office of the Exchange, and at the Commission’s Public Reference Room. II. Self-Regulatory Organization’s Statement of the Purpose of, and Statutory Basis for, the Proposed Rule Change In its filing with the Commission, the self-regulatory organization included statements concerning the purpose of, and basis for, the proposed rule change and discussed any comments it received on the proposed rule change. The text of those statements may be examined at the places specified in Item IV below. The Exchange has prepared summaries, set forth in sections A, B, and C below, of the most significant parts of such statements. 1 15 [FR Doc. 2019–05559 Filed 3–22–19; 8:45 am] 11141 U.S.C.78s(b)(1). U.S.C. 78a. 3 17 CFR 240.19b–4. 2 15 E:\FR\FM\25MRN1.SGM 25MRN1

Agencies

[Federal Register Volume 84, Number 57 (Monday, March 25, 2019)]
[Notices]
[Page 11141]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-05559]


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OFFICE OF PERSONNEL MANAGEMENT


Submission for Review: Health Benefits Election Form, Standard 
Form 2809

AGENCY: Office of Personnel Management.

ACTION: 30-Day notice and request for comments.

-----------------------------------------------------------------------

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, Health Benefits Election Form, 
Standard Form 2809.

DATES: Comments are encouraged and will be accepted until April 24, 
2019.

ADDRESSES: Interested persons are invited to submit written comments on 
the proposed information collection to the Office of Information and 
Regulatory Affairs, Office of Management and Budget, 725 17th Street 
NW, Washington, DC 20503, Attention: Desk Officer for the Office of 
Personnel Management or sent via electronic mail to 
oira_submission@omb.eop.gov or faxed 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, 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) 606-4808.

SUPPLEMENTARY INFORMATION: As required by the Paperwork Reduction Act 
of 1995 OPM is soliciting comments for this collection. The information 
collection (OMB No. 3206-0160) was previously published in the Federal 
Register on December 4, 2018, at 83 FR 62630, 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.
    Standard Form 2809 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.

Office of Personnel Management.
Alexys Stanley,
Regulatory Affairs Analyst.
[FR Doc. 2019-05559 Filed 3-22-19; 8:45 am]
 BILLING CODE 6325-38-P
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