Submission For OMB Review; Request For Review of a Revised Information Collection: (OMB Control No. 3206-0136; Standard Form 2823)

概要

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. This information collection, "Designation of Beneficiary: Federal Employees' Group Life Insurance" (OMB Control No. 3206-0136; Standard Form 2823), is used by any Federal employee or retiree covered by the Federal Employees' Group Life Insurance Program to instruct the Office of Federal Employees' Group Life Insurance how to distribute the proceeds of his or her life insurance when the statutory order of precedence does not meet his or her needs. We estimate 47,000 SF 2823 forms are completed annually by annuitants and 1,000 forms are completed by assignees. Each form takes approximately 15 minutes to complete. The annual estimated burden is 12,000 hours. For copies of this proposal, contact Cyrus S. Benson on (202) 606- 4808, FAX (202) 606-0910 or via e-mail to [email protected]. Please include a mailing address with your request.