Management and Budget Office June 23, 2008 – Federal Register Recent Federal Regulation Documents

Submission for OMB Review; Comment Request for the Review of a Revised Information Collection: Form DPRS-2809
Document Number: E8-14142
Type: Notice
Date: 2008-06-23
Agency: Office of Personnel Management, Management and Budget Office, Executive Office of the President
In accordance with the Paperwork Reduction Act of 1995 (Pub. L. 104-13, May 22, 1995), this notice announces that the Office of Personnel Management (OPM) has submitted to the Office of Management and Budget (OMB) a request for review of a revised information collection. DPRS 2809, Request to Change Federal Employees Health Benefits (FEHB) Enrollment, is used by former spouses and Temporary Continuation of Coverage recipients who are eligible to elect, cancel, or change health benefits enrollment during open season. Approximately 27,000 DPRS-2809 forms are completed annually. We estimate it takes approximately 45 minutes to complete the forms. The annual burden is 20,250 hours. For copies of this proposal, contact Mary Beth Smith-Toomey on (202) 606-8358, FAX (202) 418-3251 or via E-mail to MaryBeth.Smith- Toomey@opm.gov. Please include a mailing address with your request.
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