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###### Office of Personnel Management

          - [OMB Control No. 3206-0017; Form RI 78-11] 

# 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, “Medicare Part B Certification” (OMB Control No. 3206-0017; Form RI 78-11), collects information from annuitants, their spouses, and survivor annuitants to determine their eligibility under the Retired Federal Employees Health Benefits Program for a Government contribution toward the cost of Part B of Medicare. 

Comments are particularly invited on whether this collection of 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 the use of appropriate technological collection techniques or other forms of information technology. 

Approximately 100 RI 78-11 forms are completed annually. Each form requires approximately 10 minutes to complete. The annual estimated burden is 17 hours. 

                        For copies of this proposal, contact Margaret A. Miller by telephone at (202) 606-2699, by FAX (202) 418-3251, or by e-mail to                         *Margaret.Miller@opm.gov.*                         Please include a mailing address with your request.                     

# DATES:

Comments on this proposal should be received within 60 calendar days of the date of this publication. 

# ADDRESSES:

Send or deliver comments to— 

Ronald W. Melton,  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. 

*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.                     

U.S. Office of Personnel Management. 

Howard Weizmann, 

Deputy Director.

[FR Doc. E8-22111 Filed 9-19-08; 8:45 am] 

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