WebNov 1, 2024 · Standard Form 2809, Health Benefits Election Form, is used by Federal employees, annuitants other than those under the Civil Service Retirement System … WebFeb 6, 2024 · Submission for Review: Health Benefits Election Form, OPM 2809, 3206-0141 Retirement Services, Office of Personnel Management (OPM) offers the general public and other federal agencies the opportunity to comment on the renewal of an expiring information collection request (ICR), without change, Health Benefits Election Form …
Submission for Review: 3206-0141, Health Benefits …
WebSep 3, 2024 · This rule involves an OMB approved collection of information subject to the PRA for the FEHB Program, OMB No. 3206-0160, Health Benefits Election Form. The public reporting burden for this collection is estimated to average 30 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and ... Web8 rows · omb 3206-0141 OPM Form 2809 is used by annuitants and former spouses to elect, cancel, suspend, ... civu medizin
Division of Unemployment Insurance The letters and forms we …
Web3206-0102: HEALTH BENEFITS ELECTION FORM, ANNUITANTS: 3206-0101: ENROLLMENT REPORT, REPORTS NO. 7, 8, AND 9: 3206-0100: PATC - LQB, SPRING 1981 SURVEY: 3206-0099: Initial Certification of Full-time School Attendance: 3206-0098: REQUEST TO INSPECT OR RECEIVE COPIES OF SF 278, FINANCIAL DISCLOSURE … WebMay 3, 2024 · Submission for Review: Health Benefits Election Form, Standard Form 2809 AGENCY: Office of Personnel Management. ACTION: 30-Day notice and request for comments. ... (OMB No. 3206–0160) was previously published in the Federal Register on November 1, 2024, at 86 FR 60304, allowing for a 60-day public comment period. No … Web4. Individuals eligible for Temporary Continuation of Coverage (TCC) under the FEHB Program, including: •Former employees (who separated from service); •Children who lose FEHB coverage; and •Former spouses who are not eligible for FEHB under item 3 above. Form Approved: OMB No. 3206-0160 Instructions for Completing SF 2809 civvih