82 FR 17893 - Submission for Review: CSRS/FERS Documentation in Support of Disability Retirement Application, SF 3112

OFFICE OF PERSONNEL MANAGEMENT

Federal Register Volume 82, Issue 70 (April 13, 2017)

Page Range		17893-17893
FR Document		2017-07460

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), CSRS/FERS Documentation in Support of Disability Retirement Application, SF 3112.

Federal Register, Volume 82 Issue 70 (Thursday, April 13, 2017)

[Federal Register Volume 82, Number 70 (Thursday, April 13, 2017)]
[Notices]
[Page 17893]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-07460]



[[Page 17893]]

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OFFICE OF PERSONNEL MANAGEMENT


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

AGENCY: 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), CSRS/FERS Documentation in 
Support of Disability Retirement Application, SF 3112.

DATES: Comments are encouraged and will be accepted until June 12, 
2017.

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, 
Attention: Alberta Butler, Room 2347-E or sent via electronic mail to 
[email protected].

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-L, Washington, DC 20415, Attention: Cyrus S. 
Benson, or sent via electronic mail to [email protected] or faxed to 
(202) 606-0910.

SUPPLEMENTARY INFORMATION: 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 (OMB No. 3206-0228).
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 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.
Kathleen M. McGettigan,
Acting Director.
[FR Doc. 2017-07460 Filed 4-12-17; 8:45 am]
 BILLING CODE 6325-38-P

Federal Register / Vol. 82, No. 70 / Thursday, April 13, 2017 / Notices 17893

OFFICE OF PERSONNEL are to respond, including through the of Retirement Deductions, SF 3106 and
MANAGEMENT use of appropriate automated, SF 3106A.
electronic, mechanical, or other DATES: Comments are encouraged and
Submission for Review: CSRS/FERS technological collection techniques or will be accepted until June 12, 2017.
Documentation in Support of Disability other forms of information technology, ADDRESSES: Interested persons are
Retirement Application, SF 3112 e.g., permitting electronic submissions invited to submit written comments on
AGENCY: Office of Personnel of responses. the proposed information collection to
Management. Standard Form 3112, CSRS/FERS Retirement Services, U.S. Office of
Documentation in Support of Disability Personnel Management, 1900 E Street
ACTION: 60-Day notice and request for
Retirement Application collects NW., Washington, DC 20415, Attention:
comments.
information from applicants for Alberta Butler, Room 2347–E, or sent
SUMMARY: The Retirement Services, disability retirement so that OPM can via electronic mail to Alberta.Butler@
Office of Personnel Management (OPM) determine whether to approve a opm.gov.
offers the general public and other disability retirement under title 5,
FOR FURTHER INFORMATION CONTACT: A
Federal agencies the opportunity to U.S.C. Sections 8337 and 8455. The
applicant will only complete Standard copy of this ICR with applicable
comment on an extension without supporting documentation, may be
change, of a currently approved Forms 3112A and 3112C. Standard
Forms 3112B, 3112D and 3112E will be obtained by contacting the Retirement
information collection request (ICR), Services Publications Team, Office of
CSRS/FERS Documentation in Support completed by the immediate supervisor
and the employing agency of the Personnel Management, 1900 E Street
of Disability Retirement Application, SF
applicant. NW., Room 3316–L, Washington, DC
3112.
20415, Attention: Cyrus S. Benson, or
DATES: Comments are encouraged and Analysis sent via electronic mail to
will be accepted until June 12, 2017. Cyrus.Benson@opm.gov or faxed to
Agency: Retirement Operations,
ADDRESSES: Interested persons are (202) 606–0910.
Retirement Services, Office of Personnel
invited to submit written comments on SUPPLEMENTARY INFORMATION: As
Management.
the proposed information collection to required by the Paperwork Reduction
Title: CSRS/FERS Documentation in
Retirement Services, U.S. Office of Act of 1995 (Pub. L. 104–13, 44 U.S.C.
Support of Disability Retirement
Personnel Management, 1900 E Street chapter 35) as amended by the Clinger-
Application.
NW., Washington, DC 20415, Attention: OMB Number: 3206–0228. Cohen Act (Pub. L. 104–106), OPM is
Alberta Butler, Room 2347–E or sent via soliciting comments for this collection
electronic mail to Alberta.Butler@ Frequency: On occasion.
Affected Public: Individuals or (OMB No. 3206–0170). The Office of
opm.gov. Management and Budget is particularly
Households.
FOR FURTHER INFORMATION CONTACT: A Number of Respondents: SF 3112A = interested in comments that:
copy of this ICR with applicable 1,350; SF 3112C = 12,100. 1. Evaluate whether the proposed
supporting documentation, may be Estimated Time per Respondent: SF collection of information is necessary
obtained by contacting the Retirement 3112A = 30 minutes; SF 3112C = 60 for the proper performance of functions
Services Publications Team, Office of minutes. of the agency, including whether the
Personnel Management, 1900 E Street Total Burden Hours: 12,775. information will have practical utility;
NW., Room 3316–L, Washington, DC U.S. Office of Personnel Management. 2. Evaluate the accuracy of the
20415, Attention: Cyrus S. Benson, or agency’s estimate of the burden of the
Kathleen M. McGettigan,
sent via electronic mail to proposed collection of information,
Acting Director.
Cyrus.Benson@opm.gov or faxed to including the validity of the
[FR Doc. 2017–07460 Filed 4–12–17; 8:45 am] methodology and assumptions used;
(202) 606–0910.
SUPPLEMENTARY INFORMATION: As
BILLING CODE 6325–38–P 3. Enhance the quality, utility, and
required by the Paperwork Reduction clarity of the information to be
Act of 1995 (Pub. L. 104–13, 44 U.S.C. collected; and
OFFICE OF PERSONNEL 4. Minimize the burden of the
chapter 35) as amended by the Clinger-
MANAGEMENT collection of information on those who
Cohen Act (Pub. L. 104–106), OPM is
soliciting comments for this collection are to respond, including through the
Submission for Review: Notification of use of appropriate automated,
(OMB No. 3206–0228). Application for Refund of Retirement
The Office of Management and Budget electronic, mechanical, or other
Deductions, SF 3106 and Current/ technological collection techniques or
is particularly interested in comments Former Spouse(s) Notification of
that: other forms of information technology,
Application for Refund of Retirement e.g., permitting electronic submissions
1. Evaluate whether the proposed Deductions Under FERS, SF 3106A
collection of information is necessary of responses.
for the proper performance of functions AGENCY: Office of Personnel Standard Form 3106, Application for
of the agency, including whether the Management. Refund of Retirement Deductions under
information will have practical utility; ACTION: 60-Day notice and request for FERS is used by former Federal
2. Evaluate the accuracy of the comments. employees under FERS, to apply for a
refund of retirement deductions
asabaliauskas on DSK3SPTVN1PROD with NOTICES

agency’s estimate of the burden of the
proposed collection of information, SUMMARY: The Retirement Services, withheld during Federal employment,
including the validity of the Office of Personnel Management (OPM) plus any interest provided by law.
methodology and assumptions used; offers the general public and other Standard Form 3106A, Current/Former
3. Enhance the quality, utility, and Federal agencies the opportunity to Spouse(s) Notification of Application
clarity of the information to be comment on an extension, without for Refund of Retirement Deductions
collected; and change, of a currently approved Under FERS, is used by refund
4. Minimize the burden of the information collection (ICR), applicants to notify their current/former
collection of information on those who Notification of Application for Refund spouse(s) that they are applying for a

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Document Created: 2017-04-13 01:09:18
Document Modified: 2017-04-13 01:09:18

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 June 12, 2017.
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-L, Washington, DC 20415, Attention: Cyrus S. Benson, or sent via electronic mail to [email protected] or faxed to (202) 606-0910.
FR Citation		82 FR 17893