80 FR 54329 - Submission for Review: 3206-0172, Application for Death Benefits Under the Federal Employees Retirement System (SF 3104); and Documentation and Elections in Support of Application for Death Benefits When Deceased Was an Employee at the Time of Death (SF 3104B)

OFFICE OF PERSONNEL MANAGEMENT

Federal Register Volume 80, Issue 174 (September 9, 2015)

Page Range		54329-54329
FR Document		2015-22704

The Retirement Services, Office of Personnel Management (OPM) offers the general public and other Federal agencies the opportunity to comment on a revised information collection request (ICR) 3206-0172, Application for Death Benefits under the Federal Employees Retirement System and Documentation and Elections in Support of Application for Death Benefits When Deceased Was an Employee at the Time of Death. As required by the Paperwork Reduction Act of 1995 (Pub. L. 104-13, 44 U.S.C. chapter 35) as amended by the Clinger-Cohen Act (Pub. L. 104- 106), OPM is soliciting comments for this collection. This information collection was previously published in the Federal Register on December 8, 2014 at Volume 79 FR 72711 allowing for a 60-day public comment period. No comments were received for this information collection. The purpose of this notice is to allow an additional 30 days for public comments.

Federal Register, Volume 80 Issue 174 (Wednesday, September 9, 2015)

[Federal Register Volume 80, Number 174 (Wednesday, September 9, 2015)]
[Notices]
[Page 54329]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-22704]


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OFFICE OF PERSONNEL MANAGEMENT


Submission for Review: 3206-0172, Application for Death Benefits 
Under the Federal Employees Retirement System (SF 3104); and 
Documentation and Elections in Support of Application for Death 
Benefits When Deceased Was an Employee at the Time of Death (SF 3104B)

AGENCY: U.S. Office of Personnel Management.

ACTION: 30-Day notice and request for comments.

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SUMMARY: The Retirement Services, Office of Personnel Management (OPM) 
offers the general public and other Federal agencies the opportunity to 
comment on a revised information collection request (ICR) 3206-0172, 
Application for Death Benefits under the Federal Employees Retirement 
System and Documentation and Elections in Support of Application for 
Death Benefits When Deceased Was an Employee at the Time of Death. As 
required by the Paperwork Reduction Act of 1995 (Pub. L. 104-13, 44 
U.S.C. chapter 35) as amended by the Clinger-Cohen Act (Pub. L. 104-
106), OPM is soliciting comments for this collection. This information 
collection was previously published in the Federal Register on December 
8, 2014 at Volume 79 FR 72711 allowing for a 60-day public comment 
period. No comments were received for this information collection. The 
purpose of this notice is to allow an additional 30 days for public 
comments.

DATES: Comments are encouraged and will be accepted until October 9, 
2015. This process is conducted in accordance with 5 CFR 1320.1.

ADDRESSES: Interested persons are invited to submit written comments on 
the proposed information collection to the Office of Information and 
Regulatory Affairs, Office of Management and Budget, 725 17th Street 
NW., Washington, DC 20503, Attention: Desk Officer for the Office of 
Personnel Management or sent via electronic mail to 
oira_submission@omb.eop.gov or faxed to (202) 395-6974.

FOR FURTHER INFORMATION CONTACT: A copy of this ICR, with applicable 
supporting documentation, may be obtained by contacting the Office of 
Information and Regulatory Affairs, Office of Management and Budget, 
725 17th Street NW., Washington, DC 20503, Attention: Desk Officer for 
the Office of Personnel Management or sent via electronic mail to 
oira_submission@omb.eop.gov or faxed to (202) 395-6974.

SUPPLEMENTARY INFORMATION: 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.
    SF 3104, Application for Death Benefits under the Federal Employees 
Retirement System, is needed to collect information so that OPM can pay 
death benefits to the survivor of Federal employees and annuitants. SF 
3104B, Documentation and Elections in Support of Application for Death 
Benefits When Deceased Was an Employee at the Time of Death, is needed 
for deaths in service so that survivors can make the needed elections 
regarding health benefits, military service and payment of the death 
benefit.

Analysis

    Agency: Retirement Operations, Retirement Services, Office of 
Personnel Management.
    Title: Application for Death Benefits under the Federal Employees 
Retirement System and Documentation and Elections in Support of 
Application for Death Benefits When Deceased Was an Employee at the 
Time of Death.
    OMB: 3206-0172.
    Frequency: On occasion.
    Affected Public: Individuals or Households.
    Number of Respondents: SF 3104 = 12,734 and SF 3104B = 4,017.
    Estimated Time per Respondent: 60 minutes.
    Total Burden Hours: 16,751.

U.S. Office of Personnel Management.
Beth F. Cobert,
Acting Director.
[FR Doc. 2015-22704 Filed 9-8-15; 8:45 am]
 BILLING CODE 6325-38-P

Federal Register / Vol. 80, No. 174 / Wednesday, September 9, 2015 / Notices 54329

3. Enhance the quality, utility, and collection request (ICR) 3206–0172, electronic, mechanical, or other
clarity of the information to be Application for Death Benefits under technological collection techniques or
collected; and the Federal Employees Retirement other forms of information technology,
4. Minimize the burden of the System and Documentation and e.g., permitting electronic submissions
collection of information on those who Elections in Support of Application for of responses.
are to respond, including through the Death Benefits When Deceased Was an SF 3104, Application for Death
use of appropriate automated, Employee at the Time of Death. As Benefits under the Federal Employees
electronic, mechanical, or other required by the Paperwork Reduction Retirement System, is needed to collect
technological collection techniques or Act of 1995 (Pub. L. 104–13, 44 U.S.C. information so that OPM can pay death
other forms of information technology, chapter 35) as amended by the Clinger- benefits to the survivor of Federal
e.g., permitting electronic submissions Cohen Act (Pub. L. 104–106), OPM is employees and annuitants. SF 3104B,
of responses. soliciting comments for this collection. Documentation and Elections in
RI 20–7 is used by the Civil Service This information collection was Support of Application for Death
Retirement System (CSRS) and the previously published in the Federal Benefits When Deceased Was an
Federal Employees Retirement System Register on December 8, 2014 at Volume Employee at the Time of Death, is
(FERS) to collect information from 79 FR 72711 allowing for a 60-day needed for deaths in service so that
persons applying to be fiduciaries for public comment period. No comments survivors can make the needed elections
annuitants or survivor annuitants who were received for this information regarding health benefits, military
appear to be incapable of handling their collection. The purpose of this notice is service and payment of the death
own funds or for minor children. RI 30– to allow an additional 30 days for public benefit.
3 collects medical information regarding comments. Analysis
the annuitant’s competency for OPM’s DATES: Comments are encouraged and
use in evaluating the annuitant’s will be accepted until October 9, 2015. Agency: Retirement Operations,
condition. This process is conducted in accordance Retirement Services, Office of Personnel
with 5 CFR 1320.1. Management.
Analysis Title: Application for Death Benefits
ADDRESSES: Interested persons are
Agency: Retirement Operations, under the Federal Employees
invited to submit written comments on Retirement System and Documentation
Retirement Services, Office of Personnel
the proposed information collection to and Elections in Support of Application
Management.
the Office of Information and Regulatory for Death Benefits When Deceased Was
Title: Representative Payee
Affairs, Office of Management and an Employee at the Time of Death.
Application.
OMB Number: 3206–0140. Budget, 725 17th Street NW., OMB: 3206–0172.
Frequency: Annually. Washington, DC 20503, Attention: Desk Frequency: On occasion.
Affected Public: Individuals or Officer for the Office of Personnel Affected Public: Individuals or
Households. Management or sent via electronic mail Households.
Number of Respondents: 12,480 to oira_submission@omb.eop.gov or Number of Respondents: SF 3104 =
(RI 20–7); 250 (RI 30–3). faxed to (202) 395–6974. 12,734 and SF 3104B = 4,017.
Estimated Time per Respondent: 30 FOR FURTHER INFORMATION CONTACT: A Estimated Time per Respondent: 60
minutes (RI 20–7); 60 minutes (RI 30–3). copy of this ICR, with applicable minutes.
Total Burden Hours: 6,490. supporting documentation, may be Total Burden Hours: 16,751.
U.S. Office of Personnel Management.
obtained by contacting the Office of U.S. Office of Personnel Management.
Information and Regulatory Affairs, Beth F. Cobert,
Beth F. Cobert,
Office of Management and Budget, 725 Acting Director.
Acting Director. 17th Street NW., Washington, DC 20503,
[FR Doc. 2015–22710 Filed 9–8–15; 8:45 am] [FR Doc. 2015–22704 Filed 9–8–15; 8:45 am]
Attention: Desk Officer for the Office of
BILLING CODE 6325–38–P
BILLING CODE 6325–38–P Personnel Management or sent via
electronic mail to oira_submission@
omb.eop.gov or faxed to (202) 395–6974.
OFFICE OF PERSONNEL RAILROAD RETIREMENT BOARD
SUPPLEMENTARY INFORMATION: The Office
MANAGEMENT
of Management and Budget is Privacy Act of 1974, as amended;
Submission for Review: 3206–0172, particularly interested in comments Notice of Computer Matching Program
Application for Death Benefits Under that: (Railroad Retirement Board and
the Federal Employees Retirement 1. Evaluate whether the proposed
Commercial Employment Verification
System (SF 3104); and Documentation collection of information is necessary
Providers)
and Elections in Support of for the proper performance of functions
Application for Death Benefits When of the agency, including whether the AGENCY: Railroad Retirement Board
Deceased Was an Employee at the information will have practical utility; (RRB).
2. Evaluate the accuracy of the ACTION:Notice of creating a new
Time of Death (SF 3104B)
agency’s estimate of the burden of the computer-matching program with
AGENCY: U.S. Office of Personnel proposed collection of information, commercial employment verification
Management. including the validity of the providers.
ACTION: 30-Day notice and request for methodology and assumptions used;
Lhorne on DSK5TPTVN1PROD with NOTICES

comments. 3. Enhance the quality, utility, and SUMMARY: As required by the Privacy
clarity of the information to be Act of 1974, as amended, the RRB is
SUMMARY: The Retirement Services, collected; and issuing public notice of its intent to
Office of Personnel Management (OPM) 4. Minimize the burden of the create a new computer-matching
offers the general public and other collection of information on those who program with commercial employment
Federal agencies the opportunity to are to respond, including through the verification providers. The purpose of
comment on a revised information use of appropriate automated, this notice is to advise individuals

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Document Created: 2015-12-15 09:53:25
Document Modified: 2015-12-15 09:53:25

Category		Regulatory Information
Collection		Federal Register
sudoc Class		AE 2.7: GS 4.107: AE 2.106:
Publisher		Office of the Federal Register, National Archives and Records Administration
Section		Notices
Action		30-Day notice and request for comments.
Dates		Comments are encouraged and will be accepted until October 9, 2015. This process is conducted in accordance with 5 CFR 1320.1.
Contact		A copy of this ICR, with applicable supporting documentation, may be obtained by contacting the Office of Information and Regulatory Affairs, Office of Management and Budget, 725 17th Street NW., Washington, DC 20503, Attention: Desk Officer for the Office of Personnel Management or sent via electronic mail to [email protected] or faxed to (202) 395-6974.
FR Citation		80 FR 54329