Federal Register / Vol. 74, No. 59 / Monday, March 30, 2009 / Notices 14171 

information collection. This information 

collection, ‘‘Life Insurance Election’’ 

(OMB Control No. 3206–0230; SF 2817), 

is used by Federal employees and 

assignees (those who have acquired 

control of an employee/annuitant’s 

coverage through an assignment or 

‘‘transfer’’ of the ownership of the life 

insurance). Clearance of this form for 

use by active Federal employees is not 

required according to the Paperwork 

Reduction Act (Pub. L. 98–615). The 

Public Burden Statement meets the 

requirements of 5 CFR 1320.8(b)(3). 

Therefore, only the use of this form by 

assignees, i.e. members of the public, is 

subject to the Paperwork Reduction Act. 

Approximately 150 SF 2817 forms are 

completed annually by assignees. The 

form takes approximately 15 minutes to 

complete. The annual estimated burden 

is 37.5 hours 

For copies of this proposal, contact 

Cyrus S. Benson on (202) 606–4808, 

FAX (202) 606–0910 or via e-mail to 

Cyrus.Benson@opm.gov. Please include 

a mailing address with your request. 

DATES: Comments on this proposal 

should be received within 30 calendar 

days from the date of this publication. 

ADDRESSES: Send or deliver comments 

to— 

Christopher N. Meuchner, Life 

Insurance & Long Term Care Group, 

Center for Retirement and Insurance 

Services, U.S. Office of Personnel 

Management, 1900 E Street, NW., 

Room 2H22, Washington, DC 20415– 

3661; and 

Alexander Hunt, OPM Desk Officer, 

Office of Information and Regulatory 

Affairs, Office of Management and 

Budget, New Executive Office 

Building, NW., Room 10235, 

Washington, DC 20503. 

For information regarding 

administrative coordination contact: 

Cyrus S. Benson, Team Leader, 

Publications Team, RIS Support 

Services/Support Group, U.S. Office of 

Personnel Management, 1900 E Street, 

NW., Room 4H28, Washington, DC 

20415. (202) 606–0623. 

Kathie Ann Whipple, 

Acting Director, U.S. Office of Personnel 

Management. 

[FR Doc. E9–6925 Filed 3–27–09; 8:45 am] 

BILLING CODE 6325–38–P 

OFFICE OF PERSONNEL 

MANAGEMENT 

[OMB Control No. 3206–0156 (STANDARD 

FORMS 2800 AND 2800A)] 

Submission for OMB Review; Request 

for Review of a Revised Information 

Collection 

AGENCY: Office of Personnel 

Management. 

ACTION: Notice. 

SUMMARY: 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, ‘‘Application for Death 

Benefits under the Civil Service 

Retirement System (CSRS)’’ (OMB 

Control No. 3206–0156; form SF 2800), 

is needed to collect information so that 

OPM can pay death benefits to the 

survivors of Federal employees and 

annuitants. ‘‘Documentation and 

Elections in Support of Application for 

Death Benefits When Deceased Was an 

Employee at the Time of Death’’ (OMB 

Control No. 3206–0156; form SF 

2800A), is needed for deaths in service 

so that survivors can make the needed 

elections regarding military service. 

Every applicant who uses SF 2800 

should read SF 2800–1, Applying for 

Death Benefits under CSRS. This brief 

booklet provides the general 

information applicants need to 

understand what they are applying for. 

Approximately 68,000 SF 2800’s are 

processed annually. The completion 

time for this form is approximately 45 

minutes. An annual burden of 51,000 

hours is estimated. Approximately 6,800 

applicants will use SF 2800A annually. 

Each form takes approximately 45 

minutes to complete. An annual 

estimated burden of 5,100 hours is 

estimated. The total annual burden for 

this information collection is 56,100 

hours. 

For copies of this proposal, contact 

Cyrus S. Benson by telephone (202) 

606–4808, FAX (202) 606–0910 or by email to Cyrus.Benson@opm.gov. Please 

include a mailing address with your 

request. 

DATES: Comments on this proposal 

should be received within 30 calendar 

days from the date of this publication. 

ADDRESSES: Send or deliver comments 

to: 

James K. Freiert, Deputy Assistant 

Director, Retirement Services 

Program, Center for Retirement and 

Insurance Services, U.S. Office of 

Personnel Management, 1900 E Street, 

NW., Room 3305, Washington, DC 

20415–3500; and 

Alexander Hunt, OPM Desk Officer, 

Office of Information & Regulatory 

Affairs, Office of Management and 

Budget, New Executive Office 

Building, 725 17th Street, NW., Room 

10235, Washington, DC 20503. 

FOR FURTHER INFORMATION CONTACT: For 

information regarding administrative 

coordination contact: 

Cyrus S. Benson, Team Leader, 

Publications Team, RIS Support 

Services/Support Group, U.S. Office of 

Personnel Management, 1900 E Street, 

NW., Room 4H28, Washington, DC 

20415. (202) 606–0623. 

Kathie Ann Whipple, 

Acting Director, U.S. Office of Personnel 

Management. 

[FR Doc. E9–6927 Filed 3–27–09; 8:45 am] 

BILLING CODE 6325–38–P 

OFFICE OF PERSONNEL 

MANAGEMENT 

[OMB Control No. 3206–0245; RI 20–120] 

Proposed Information Collection; 

Request for Comments on an Existing 

Information Collection 

AGENCY: Office of Personnel 

Management. 

ACTION: Notice. 

SUMMARY: 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) intends to submit to 

the Office of Management and Budget 

(OMB) a request for review of an 

existing information collection. This 

information collection, ‘‘Request for 

Change to Unreduced Annuity’’ (OMB 

Control No. 3206–0245; Form RI 20– 

120), is designed to collect required 

information so that OPM may comply 

with the wishes of the retired Federal 

employee whose marriage has ended. 

This form will provide an organized 

way for the retiree to give us everything 

at one time. 

Comments are particularly invited on: 

Whether this information is necessary 

for the proper performance of functions 

of the Office of Personnel Management, 

and whether it will have practical 

utility; whether our estimate of the 

public burden of this collection of 

information is accurate, and based on 

valid assumptions and methodology; 

and ways in which we can minimize the 

burden of the collection of information 

on those who are to respond, through 


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