[Federal Register: June 18, 2002 (Volume 67, Number 117)]
[Notices]               
[Page 41533]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr18jn02-123]                         

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OFFICE OF PERSONNEL MANAGEMENT

 
Submission for OMB Review; Comment Request for Reclearance of a 
Revised Information Collection: RI 78-11

AGENCY: Office of Personnel Management.

ACTION: Notice.

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SUMMARY: In accordance with the Paperwork Reduction Act of 1995 (Public 
Law 104-13, May 22, 1995), this notice announces that the Office of 
Personnel Management (OPM) has submitted to the Office of Management 
and Budget a request for reclearance 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 of 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 mbtoomey@opm.gov. 
Please include a mailing address with your request.

DATES: Comments on this proposal should be received on or before July 
18, 2002.

ADDRESSES: 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; and
Joseph Lackey, OPM Desk Officer, Office of Information & 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, Desktop Publishing & Printing Team, Budget & 
Administrative Services Division, (202) 606-0623.

Office of Personnel Management.
Kay Coles James,
Director.
[FR Doc. 02-15205 Filed 6-17-02; 8:45 am]
BILLING CODE 6325-50-P