60 Day FRN

SF2809_60DayFRN_2021_11_01.pdf

Health Benefits Election Form

60 Day FRN

OMB: 3206-0160

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60304

Federal Register / Vol. 86, No. 208 / Monday, November 1, 2021 / Notices

Advisory Committee members must
have experience with employee
organizations, employers who maintain
defined benefit pension plans, the
administration or advising of pension
plans, or in related fields. Appointments
are for 3-year terms. Reappointments are
possible but are subject to the
appointment process.
The Advisory Committee’s prescribed
duties include advising the Corporation
as to its policies and procedures relating
to investment of moneys, and other
issues as the Corporation may request or
as the Advisory Committee determines
appropriate. The Advisory Committee
meets at least six times each year. At
least one meeting is a joint meeting with
the PBGC Board of Directors.
By February 19, 2022, the terms of
three of the Advisory Committee
members, one representing the general
public and two representing employers,
will have expired. Therefore, PBGC is
seeking nominations for three seats.
PBGC is committed to equal
opportunity in the workplace and seeks
a broad-based and diverse Advisory
Committee.
If you or your organization wants to
nominate one or more people for
appointment to the Advisory Committee
to represent the general public or
employers, you may submit
nominations to PBGC. Nominations may
be in the form of a letter, resolution or
petition, signed by the person making
the nomination. PBGC encourages you
to include additional supporting letters
of nomination. PBGC will not consider
self-nominees who have no supporting
letters. Please do not include any
information that you do not want
publicly disclosed.
Nominations, including supporting
letters, should:
• State the person’s qualifications to
serve on the Advisory Committee
(including any specialized knowledge or
experience relevant to the nominee’s
proposed Advisory Committee position
to represent the general public or
employers);
• state that the candidate will accept
appointment to the Advisory Committee
if offered;
• include the nominee’s full name,
work affiliation, mailing address, phone
number, and email address;
• include the nominator’s full name,
mailing address, phone number, and
email address; and
• include the nominator’s signature,
whether sent by email or otherwise.
PBGC will contact nominees for
information on their political affiliation
and their status as registered lobbyists.
Nominees should be aware of the time
commitment for attending meetings and

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actively participating in the work of the
Advisory Committee. Historically, this
has meant a commitment of at least 15
days per year. PBGC has a process for
vetting nominees under consideration
for appointment.
Issued in Washington, DC.
Gordon Hartogensis,
Director, Pension Benefit Guaranty
Corporation.
[FR Doc. 2021–23717 Filed 10–29–21; 8:45 am]
BILLING CODE 7709–02–P

OFFICE OF PERSONNEL
MANAGEMENT
Submission for Review: 3206–0160,
Health Benefits Election Form,
Standard Form 2809
Office of Personnel
Management.
ACTION: 60-Day notice and request for
comments.
AGENCY:

Federal Employee Insurance
Operations (FEIO), Healthcare &
Insurance, Office of Personnel
Management (OPM) offers the general
public and other federal agencies the
opportunity to comment on an expiring
information collection request (ICR)
without change, Health Benefits
Election Form, Standard Form 2809.
DATES: Comments are encouraged and
will be accepted until January 3, 2022.
ADDRESSES: You may submit comments,
identified by docket number and/or
Regulatory Information Number (RIN)
and title, by the following method:
—Federal Rulemaking Portal: http://
www.regulations.gov. Follow the
instructions for submitting comments.
All submissions received must
include the agency name and docket
number or RIN for this document. The
general policy for comments and other
submissions from members of the public
is to make these submissions available
for public viewing at http://
www.regulations.gov as they are
received without change, including any
personal identifiers or contact
information.
SUMMARY:

A
copy of this ICR with applicable
supporting documentation, may be
obtained by contacting the Retirement
Services Publications Team, Office of
Personnel Management, 1900 E Street
NW, Room 3316–L, Washington, DC
20415, Attention: Cyrus S. Benson, or
sent via electronic mail to
[email protected] or faxed to
(202) 606–0910 or via telephone at (202)
606–4808.

FOR FURTHER INFORMATION CONTACT:

PO 00000

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As
required by the Paperwork Reduction
Act of 1995 OPM is soliciting comments
for this collection (OMB No. 3206–
0160). The Office of Management and
Budget is particularly interested in
comments that:
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 2809, Health Benefits
Election Form, is used by Federal
employees, annuitants other than those
under the Civil Service Retirement
System (CSRS) and the Federal
Employees Retirement System (FERS)
including individuals receiving benefits
from the Office of Workers’
Compensation Programs, former spouses
eligible for benefits under the Spouse
Equity Act of 1984, and separated
employees and former dependents
eligible to enroll under the Temporary
Continuation of Coverage provisions of
the FEHB law (5 U.S.C. 8905a). A
different form (OPM 2809) is used by
CSRS and FERS annuitants whose
health benefit enrollments are
administered by OPM’s Retirement
Operations.

SUPPLEMENTARY INFORMATION:

Analysis
Agency: Federal Employee Insurance
Operations, Healthcare & Insurance,
Office of Personnel Management.
Title: Health Benefits Election Form.
OMB Number: 3206–0160.
Frequency: On occasion.
Affected Public: Individuals or
Households.
Number of Respondents: 18,000.
Estimated Time per Respondent: 30
minutes.
Total Burden Hours: 9,000.
Office of Personnel Management.
Kellie Cosgrove Riley,
Director, Office of Privacy and Information
Management.
[FR Doc. 2021–23740 Filed 10–29–21; 8:45 am]
BILLING CODE 6325–38–P

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