Office of Personnel Management.
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 a request for review of a revised information collection. RI 78-11, Medicare Part B Certification, 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 Medicare.
Approximately 100 RI 78-11 forms are completed annually. Each form requires approximately 10 minutes to complete for an annual estimated burden of 17 hours.
For copies of this proposal, contact Mary Beth Smith-Toomey on (202) 606-8358, Fax 202-418-3251, or via e-mail at firstname.lastname@example.org.Please include a mailing address with your request.
Comments on this proposal should be received within 60 calendar days from the date of this publication.
Send or deliver comments to: Ronald W. Melton, Chief, Operations Support Division, Retirement and Insurance Service, U.S. Office of Personnel Management, 1900 E Street, NW., Room 3349, Washington, DC 20415.Start Further Info
FOR MORE INFORMATION CONTACT:
Donna G. Lease, Team Leader, Desktop Publishing and Printing Team, Budget and Administrative Services Division, (202) 606-0623.Start Signature
U.S. Office of Personnel Management.
Kay Coles James,
[FR Doc. 02-4594 Filed 2-26-02; 8:45 am]
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