80 FR 61852 - Submission for Review: CSRS/FERS Documentation in Support of Disability Retirement Application, SF 3112, 3206-0228

OFFICE OF PERSONNEL MANAGEMENT

Federal Register Volume 80, Issue 198 (October 14, 2015)

Page Range		61852-61852
FR Document		2015-26096

The Retirement Services, Office of Personnel Management (OPM) offers the general public and other Federal agencies the opportunity to comment on an extension without change, of a currently approved information collection request (ICR) 3206-0228, CSRS/FERS Documentation in Support of Disability Retirement Application. As required by the Paperwork Reduction Act of 1995 (Pub. Law 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.

Federal Register, Volume 80 Issue 198 (Wednesday, October 14, 2015)

[Federal Register Volume 80, Number 198 (Wednesday, October 14, 2015)]
[Notices]
[Page 61852]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-26096]


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 OFFICE OF PERSONNEL MANAGEMENT


Submission for Review: CSRS/FERS Documentation in Support of 
Disability Retirement Application, SF 3112, 3206-0228

AGENCY: U.S. Office of Personnel Management.

ACTION: 60-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 an extension without change, of a currently approved 
information collection request (ICR) 3206-0228, CSRS/FERS Documentation 
in Support of Disability Retirement Application. As required by the 
Paperwork Reduction Act of 1995 (Pub. Law 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.

DATES: Comments are encouraged and will be accepted until December 14, 
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 Retirement Services, U.S. Office 
of Personnel Management, 1900 E Street, NW., Washington, DC 20415-3500, 
Attention: Alberta Butler, Room 2349 or sent via electronic mail to 
Alberta.Butler@opm.gov.

FOR FURTHER INFORMATION CONTACT: 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-AC, Washington, DC 20415, Attention: Cyrus S. 
Benson, or sent via electronic mail to Cyrus.Benson@opm.gov or faxed to 
(202) 606-0910.

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 3112, CSRS/FERS Documentation in Support of Disability 
Retirement Application collects information from applicants for 
disability retirement so that OPM can determine whether to approve a 
disability retirement under title 5, U.S.C. Sections 8337 and 8455. The 
applicant will only complete Standard Forms 3112A and 3112C. Standard 
Forms 3112B, 3112D and 3112E will be completed by the immediate 
supervisor and the employing agency of the applicant.

Analysis

    Agency: Retirement Operations, Retirement Services, Office of 
Personnel Management.
    Title: CSRS/FERS Documentation in Support of Disability Retirement 
Application.
    OMB Number: 3206-0228.
    Frequency: On occasion.
    Affected Public: Individuals or Households.
    Number of Respondents: SF 3112A = 1,350; SF 3112C = 12,100.
    Estimated Time per Respondent: SF 3112A = 30 minutes; SF 3112C = 60 
minutes.
    Total Burden Hours: 12,775.

U.S. Office of Personnel Management.
Beth F. Cobert,
Acting Director.
[FR Doc. 2015-26096 Filed 10-13-15; 8:45 am]
BILLING CODE 6325-38-P

61852 Federal Register / Vol. 80, No. 198 / Wednesday, October 14, 2015 / Notices

Analysis, Office of Personnel OMB Number: 3260–NEW 20415, Attention: Cyrus S. Benson, or
Management, 1900 E. Street NW., Frequency: Annually sent via electronic mail to
Washington, DC 20415, Attention: Affected Public: Federal Retirees Cyrus.Benson@opm.gov or faxed to
Cristin Kane or sent via electronic mail Number of Respondents: Unknown at (202) 606–0910.
to cristin.kane@opm.gov. this time, as survey will be administered SUPPLEMENTARY INFORMATION:
FOR FURTHER INFORMATION CONTACT: A via ‘‘open participation.’’ No firm
The Office of Management and Budget
copy of this ICR, with applicable sample size exists; however, target
is particularly interested in comments
supporting documentation, may be completion is between 200 and 1,000
that:
obtained by contacting the Office of surveys.
Estimated Time Per Respondent: 20 1. Evaluate whether the proposed
Planning and Policy Analysis, Office of collection of information is necessary
Personnel Management, 1900 E. Street, minutes
Total Burden Hours: Dependent on for the proper performance of functions
NW., Washington, DC 20415, Attention: of the agency, including whether the
Cristin Kane or sent via electronic mail final participation numbers.
information will have practical utility;
to cristin.kane@opm.gov. U.S. Office of Personnel Management.
2. Evaluate the accuracy of the
SUPPLEMENTARY INFORMATION: The Office Beth F. Cobert, agency’s estimate of the burden of the
of Management and Budget is Acting Director. proposed collection of information,
particularly interested in comments [FR Doc. 2015–26098 Filed 10–13–15; 8:45 am] including the validity of the
that: BILLING CODE 6325–63–P methodology and assumptions used;
1. Evaluate whether the proposed 3. Enhance the quality, utility, and
collection of information is necessary clarity of the information to be
for the proper performance of the OFFICE OF PERSONNEL collected; and
functions of the agency, including MANAGEMENT 4. Minimize the burden of the
whether the information will have collection of information on those who
practical utility; Submission for Review: CSRS/FERS
Documentation in Support of Disability are to respond, including through the
2. Evaluate the accuracy of the
Retirement Application, SF 3112, 3206– use of appropriate automated,
agency’s estimate of the burden of the
0228 electronic, mechanical, or other
proposed collection of information,
technological collection techniques or
including the validity of the
AGENCY: U.S. Office of Personnel other forms of information technology,
methodology and assumptions used;
Management. e.g., permitting electronic submissions
3. Enhance the quality, utility, and
ACTION: 60-day notice and request for of responses.
clarity of the information to be
collected; and comments. SF 3112, CSRS/FERS Documentation
4. Minimize the burden of the in Support of Disability Retirement
SUMMARY: The Retirement Services, Application collects information from
collection of information on those who Office of Personnel Management (OPM)
are to respond, including through the applicants for disability retirement so
offers the general public and other that OPM can determine whether to
use of appropriate automated, Federal agencies the opportunity to
electronic, mechanical, or other approve a disability retirement under
comment on an extension without title 5, U.S.C. Sections 8337 and 8455.
technological collection techniques or change, of a currently approved
other forms of information technology, The applicant will only complete
information collection request (ICR) Standard Forms 3112A and 3112C.
e.g., permitting electronic submissions 3206–0228, CSRS/FERS Documentation
of responses. Standard Forms 3112B, 3112D and
in Support of Disability Retirement 3112E will be completed by the
Overview: In the past, the Office of Application. As required by the
Personnel Management contracted with immediate supervisor and the
Paperwork Reduction Act of 1995 (Pub. employing agency of the applicant.
a vendor to administer the Consumer Law 104–13, 44 U.S.C. chapter 35) as
Assessment of Healthcare Providers and amended by the Clinger-Cohen Act Analysis
Systems (CAHPS) survey to a sample of (Pub. L. 104–106), OPM is soliciting
both active Federal employees and Agency: Retirement Operations,
comments for this collection. Retirement Services, Office of Personnel
retirees. CAHPS surveys ask consumers
DATES: Comments are encouraged and Management.
and patients to report on and evaluate
their experiences with their health care. will be accepted until December 14, Title: CSRS/FERS Documentation in
Since the CAHPS survey instrument 2015. This process is conducted in Support of Disability Retirement
is designed for the active population, it accordance with 5 CFR 1320.1. Application.
will no longer be administered to ADDRESSES: Interested persons are OMB Number: 3206–0228.
retirees. However, annuitant feedback invited to submit written comments on Frequency: On occasion.
about their health plan experience is an the proposed information collection to Affected Public: Individuals or
essential part of successful benefit Retirement Services, U.S. Office of Households.
administration for the Federal Personnel Management, 1900 E Street, Number of Respondents: SF 3112A =
Employees Health Benefits (FEHB) NW., Washington, DC 20415–3500, 1,350; SF 3112C = 12,100.
Program. As a result, the Federal Attention: Alberta Butler, Room 2349 or Estimated Time per Respondent: SF
Annuitant Benefits Survey is designed sent via electronic mail to 3112A = 30 minutes; SF 3112C = 60
to assess annuitant satisfaction with Alberta.Butler@opm.gov. minutes.
tkelley on DSK3SPTVN1PROD with NOTICES

their health plan’s benefits and services. FOR FURTHER INFORMATION CONTACT: A Total Burden Hours: 12,775.
Analysis: copy of this ICR with applicable
supporting documentation, may be U.S. Office of Personnel Management.
Agency: Planning and Policy
Analysis, Office of Personnel obtained by contacting the Retirement Beth F. Cobert,
Management Services Publications Team, Office of Acting Director
Title: Federal Annuitant Benefits Personnel Management, 1900 E Street [FR Doc. 2015–26096 Filed 10–13–15; 8:45 am]
Survey NW., Room 3316–AC, Washington, DC BILLING CODE 6325–38–P

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Document Created: 2018-02-27 08:50:15
Document Modified: 2018-02-27 08:50:15

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		60-day notice and request for comments.
Dates		Comments are encouraged and will be accepted until December 14, 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 Retirement Services Publications Team, Office of Personnel Management, 1900 E Street NW., Room 3316-AC, Washington, DC 20415, Attention: Cyrus S. Benson, or sent via electronic mail to [email protected] or faxed to (202) 606-0910.
FR Citation		80 FR 61852