Submission for Review: Life Insurance Election, Standard Form (SF) 2817
Agency: "
SUMMARY: The Federal Employee Insurance Operations (FEIO), Healthcare & Insurance,
DATES: Comments are encouraged and will be accepted until
ADDRESSES: Interested persons are invited to submit written comments on the proposed information collection to the
FOR FURTHER INFORMATION CONTACT: A copy of this ICR with applicable supporting documentation, may be obtained by contacting the Retirement Services Publications Team,
SUPPLEMENTARY INFORMATION: As required by the Paperwork Reduction Act of 1995 OPM is soliciting comments for this collection. The information collection (OMB No. 3206-0230) was previously published in the
1. Evaluate whether the proposed collection of information is necessary for the proper performance of functions of the agency, including whether the information will have practical utility;
2. Evaluate the accuracy of the agency's estimate of the burden of the proposed collection of information, including the validity of the methodology and assumptions used;
3. Enhance the quality, utility, and clarity of the information to be collected; and
4. Minimize the burden of the collection of information on those who are to respond, including through the use of appropriate automated, electronic, mechanical, or other technological collection techniques or other forms of information technology, e.g., permitting electronic submissions of responses.
Standard Form 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). Only the use of this form by assignees who are not federal employees and are, rather, members of the public, is subject to the Paperwork Reduction Act.
Analysis
Agency: Federal Employee Insurance Operations, Healthcare & Insurance,
Title: Life Insurance Election (SF 2817).
OMB Number: 3206-0230.
Frequency: On occasion.
Affected Public: Individuals or Households.
Number of Respondents: 150.
Estimated Time per Respondent: 15 minutes.
Total
Director,
30-Day notice and request for comments.
Citation: "86 FR 36588"
Federal Register Page Number: "36588"
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