Submission for OMB Review; Comment Request Review of a New Information Collection; Standard Form 2817

摘要

In accordance with the Paperwork Reduction Act of 1995 (Public Law 104-13, May 22, 1995), this notice announces that the Office of Personnel Management is submitting to the Office of Management and Budget a request for clearance of a new information collection. SF 2817, Federal Employees' Group Life Insurance Election, is used to enroll or change elections under the Federal Employee's Group Life Insurance Program. This form is proposed for clearance because Federal employees and retirees can now assign (give up ownership of) their insurance coverage. Assignees may now use the SF 2817 to make election changes to decrease the employee's or retiree's coverage. Since assignees are members of the public, OMB clearance is now required for this form. We are clearing this form for assignees only. We estimate 100 forms are completed annually by assignees. Each form takes approximately 15 minutes to complete. The annual estimated burden is 25 hours. For copies of this proposal, contact Jim Farron on (202) 418-3208, or E-mail to [email protected]