83 FR 61176 - Information Collection: Application for Death Benefits Under the Federal Employees Retirement System (SF 3104); and Documentation & 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 83, Issue 229 (November 28, 2018)
Federal Register Volume 83, Issue 229 (November 28, 2018)
| Page Range | 61176-61177 | |
| FR Document | 2018-25901 |
[Federal Register Volume 83, Number 229 (Wednesday, November 28, 2018)] [Notices] [Pages 61176-61177] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2018-25901] ----------------------------------------------------------------------- OFFICE OF PERSONNEL MANAGEMENT Information Collection: Application for Death Benefits Under the Federal Employees Retirement System (SF 3104); and Documentation & Elections in Support of Application for Death Benefits When Deceased Was an Employee at the Time of Death (SF 3104B) AGENCY: Office of Personnel Management. ACTION: 60-Day notice and request for comments. ----------------------------------------------------------------------- SUMMARY: The Retirement Services, Office of Personnel Management (OPM) offers the general public and other federal agencies the opportunity to comment on the revision of a currently approved information collection, Application for Death Benefits under the Federal Employees Retirement System (SF 3104); and Documentation & Elections in Support of Application for Death Benefits When Deceased Was an Employee at the Time of Death (SF 3104B). DATES: Comments are encouraged and will be accepted until January 28, 2019. ADDRESSES: Interested persons are invited to submit written comments on the proposed information collection to Retirement Services, 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 information collection instrument with applicable supporting documentation, may be obtained by contacting the Retirement Services Publications Team, Office of Personnel Management, 1900 E Street NW, Room [[Page 61177]] 3316-L, Washington, DC 20415, Attention: Cyrus S. Benson, or sent via electronic mail to [email protected] or faxed to (202) 606-0910 or via telephone at (202) 606-4808. SUPPLEMENTARY INFORMATION: As required by the Paperwork Reduction Act of 1995 (Pub. L. 104-13, 44 U.S.C. chapter 35) OPM is soliciting comments for this collection (OMB No. 3206-0172). We are 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 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 & Elections in Support of Application for Death Benefits When Deceased Was an Employee at the Time of Death. OMB Number: 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 hours. Office of Personnel Management. Alexys Stanley, Regulatory Affairs Analyst. [FR Doc. 2018-25901 Filed 11-27-18; 8:45 am] BILLING CODE 6325-38-P
![61176 Federal Register / Vol. 83, No. 229 / Wednesday, November 28, 2018 / Notices
oira_submission@omb.eop.gov or faxed utility and is needed to properly Analysis
to (202) 395–6974. adjudicate veterans’ preference in case Agency: Talent Acquisition and
SUPPLEMENTARY INFORMATION: The Office exam announcements. The same agency Workforce Shaping, Office of Personnel
of Management and Budget is agreed with OPM’s analysis and Management.
particularly interested in comments commented that the changes in the form Title: SF 15, Application for 10-Point
that: are likely to provide small increases in Veteran Preference.
1. Evaluate whether the proposed the quality, utility and clarity of the OMB Number: 3206–0001.
collection of information is necessary information to be collected. This agency Affected Public: Disabled Veterans.
for the proper performance of the made three suggestions on the content Number of Respondents: 18,418.
functions of the agency, including of the form. First, on Page 2, Item F, the Estimated Time per Respondent: 33.5
whether the information will have agency suggested changing ‘‘physician’’ minutes.
practical utility; to ‘‘health care provider’’ to be more in Total Burden Hours: 10,283 hours.
2. Evaluate the accuracy of the line with current regulations and to
agency’s estimate of the burden of the recognize that patients may be treated Office of Personnel Management.
proposed collection of information, by someone other than a physician. Alexys Stanley,
including the validity of the OPM agrees and is changing Regulatory Affairs Analyst.
methodology and assumptions used; ‘‘physician’’ to ‘‘licensed medical [FR Doc. 2018–25903 Filed 11–27–18; 8:45 am]
3. Enhance the quality, utility, and professional.’’ BILLING CODE 6325–39–P
clarity of the information to be Second, the agency asked to have the
collected; and veteran’s signature block added back on
4. Minimize the burden of the the form to certify that the applicant has OFFICE OF PERSONNEL
collection of information on those who read, understood, and is providing MANAGEMENT
are to respond, including through the accurate information. OPM is not
use of appropriate automated, adopting this suggestion. Many veterans Information Collection: Application for
electronic, mechanical, or other and other applicants claiming 10-point Death Benefits Under the Federal
technological collection techniques or veterans’ preference complete an Employees Retirement System (SF
other forms of information technology, electronic version of the SF 15 which 3104); and Documentation & Elections
e.g., permitting electronic submissions can make signing the form difficult. in Support of Application for Death
of responses. After an offer of employment is made Benefits When Deceased Was an
The SF 15, Application for 10-Point and/or at the time of appointment, an Employee at the Time of Death (SF
Veteran Preference, is used by veterans applicant signs the Optional Form (OF) 3104B)
as both a request for preference and a 306, Declaration for Federal
guide to determine the appropriate Employment, certifying that all AGENCY: Office of Personnel
documentation to submit to support application material submitted is true, Management.
their claims of 10-point veterans’ correct, complete, and made in good ACTION: 60-Day notice and request for
preference when applying for Federal faith. This covers the SF 15 submitted comments.
employment. The SF 15, and the at the time of application and, therefore,
it is unnecessary for the applicant to SUMMARY: The Retirement Services,
accompanying documentation, is used
sign the SF 15 separately. Office of Personnel Management (OPM)
by agencies, OPM examining offices,
Third, the agency suggested adding offers the general public and other
and agency appointing officials to
web links to the general veteran federal agencies the opportunity to
adjudicate individuals’ claims for
information from OPM to assist comment on the revision of a currently
veterans’ preference in accordance with
applicants. OPM is adopting this approved information collection,
the Veterans’ Preference Act of 1944, as
suggestion and adding the OPM web Application for Death Benefits under
amended. The proposed revisions to the
address in the instructions section on the Federal Employees Retirement
SF 15 are necessary to update language
the form. System (SF 3104); and Documentation &
as a result of the enactment of the Gold
To minimize the burden of collection Elections in Support of Application for
Star Fathers Act of 2015 (Pub. L. 114–
of information on veterans, another Death Benefits When Deceased Was an
62), derived veterans’ preference for
agency suggested adding a statement on Employee at the Time of Death (SF
parents, and to make additional
page 2 to indicate that questions 1–7 3104B).
corrections on the form, as follows:
• Page 1, Item 9 is revised to reflect only need to be answered if the person DATES: Comments are encouraged and
derived veterans’ preference for parents. claiming preference is not the veteran. will be accepted until January 28, 2019.
• Page 2, Item A, 4th bullet is OPM is adopting this suggestion. This
ADDRESSES: Interested persons are
corrected to read that certification is of same agency suggested adding clarity to
invited to submit written comments on
an expected discharge or release from item C on page 2 to state that ‘‘all of the
the proposed information collection to
active duty service in the armed forces following’’ must be included in the
Retirement Services, Office of Personnel
under honorable conditions not later documentation provided by spouses and
Management, 1900 E Street NW,
than 120 days after the date the parents. OPM is adopting this
Washington, DC 20415, Attention:
certification is submitted. suggestion.
The SF 15 will continue to be Alberta Butler, Room 2347–E, or sent
• Page 2, Items C and F are corrected via electronic mail to Alberta.Butler@
to reflect derived veterans’ preference available as a PDF fillable form for
applicant use. The only acceptable opm.gov.
for parents.
• Several punctuation errors are version of this form will be as stated FOR FURTHER INFORMATION CONTACT: A
corrected. above, but consistent with current copy of this information collection
practice, the form may be submitted instrument with applicable supporting
Comments electronically or in hard copy. The SF documentation, may be obtained by
OPM received comments from two 15 will be obtainable on the OPM contacting the Retirement Services
Federal agencies. One agency website at https://www.opm.gov/forms/ Publications Team, Office of Personnel
commented that the form has practical standard-forms/. Management, 1900 E Street NW, Room
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![Federal Register / Vol. 83, No. 229 / Wednesday, November 28, 2018 / Notices 61177
3316–L, Washington, DC 20415, Office of Personnel Management. set forth in sections A, B, and C below,
Attention: Cyrus S. Benson, or sent via Alexys Stanley, of the most significant parts of such
electronic mail to Cyrus.Benson@ Regulatory Affairs Analyst. statements.
opm.gov or faxed to (202) 606–0910 or [FR Doc. 2018–25901 Filed 11–27–18; 8:45 am]
via telephone at (202) 606–4808. A. Self-Regulatory Organization’s
BILLING CODE 6325–38–P
Statement of the Purpose of, and the
SUPPLEMENTARY INFORMATION: Statutory Basis for, the Proposed Rule
As required by the Paperwork Change
Reduction Act of 1995 (Pub. L. 104–13, SECURITIES AND EXCHANGE
44 U.S.C. chapter 35) OPM is soliciting COMMISSION 1. Purpose
comments for this collection (OMB No. (1) Generally [sic]
[Release No. 34–84644; File No. SR–
3206–0172). We are particularly NYSENAT–2018–24]
interested in comments that: The Exchange proposes to the amend
1. Evaluate whether the proposed Self-Regulatory Organizations; NYSE the Amended and Restated Certificate of
collection of information is necessary National, Inc.; Notice of Filing and Incorporation of the Exchange
for the proper performance of functions Immediate Effectiveness of Proposed (‘‘Exchange Certificate’’) and the Fifth
of the agency, including whether the Rule Change To Amend Its Certificate Amended and Restated Bylaws of the
information will have practical utility; of Incorporation and Bylaws Exchange (‘‘Exchange Bylaws’’) to (1)
2. Evaluate the accuracy of the harmonize certain provisions
agency’s estimate of the burden of the November 21, 2018.
thereunder with similar provisions in
proposed collection of information, Pursuant to Section 19(b)(1) 1 of the the governing documents of the
including the validity of the Securities Exchange Act of 1934 Exchange’s national securities exchange
methodology and assumptions used; (‘‘Act’’) 2 and Rule 19b–4 thereunder,3 affiliates 4 and parent companies; and
3. Enhance the quality, utility, and notice is hereby given that on November (2) make clarifying and updating
clarity of the information to be 20, 2018, NYSE National, Inc. changes.
collected; and (‘‘Exchange’’ or ‘‘NYSE National’’) filed
with the Securities and Exchange The Exchange is owned by NYSE
4. Minimize the burden of the Group, Inc. (‘‘NYSE Group’’), which in
collection of information on those who Commission (‘‘Commission’’) the
proposed rule change as described in turn is indirectly wholly owned by
are to respond, including through the NYSE Holdings LLC (‘‘NYSE
use of appropriate automated, Items I, II, and III below, which Items
have been prepared by the Exchange. Holdings’’). NYSE Holdings is a wholly
electronic, mechanical, or other owned subsidiary of Intercontinental
technological collection techniques or The Commission is publishing this
notice to solicit comments on the Holdings, Inc. (‘‘ICE Holdings’’), which
other forms of information technology, is in turn wholly owned by the
e.g., permitting electronic submissions proposed rule change from interested
persons. Intercontinental Exchange, Inc.
of responses. (‘‘ICE’’).5
SF 3104, Application for Death I. Self-Regulatory Organization’s
Benefits under the Federal Employees Statement of the Terms of Substance of The Exchange operates as a separate
Retirement System, is needed to collect the Proposed Rule Change self-regulatory organization and has
information so that OPM can pay death rules and membership rosters distinct
The Exchange proposes to amend its from the rules and membership rosters
benefits to the survivor of Federal certificate of incorporation and bylaws
employees and annuitants. SF 3104B, of the other NYSE Group Exchanges. At
to (1) harmonize certain provisions the same time, however, the Exchange
Documentation in Support of thereunder with similar provisions in
Application for Death Benefits When believes it is important for each of the
the governing documents of the NYSE Group Exchanges to have a
Deceased Was an Employee at the Time Exchange’s national securities exchange
of Death, is needed for deaths in service consistent approach to corporate
affiliates and parent companies; and (2) governance in certain matters, to
so that survivors can make the needed make clarifying and updating changes.
elections regarding health benefits, simplify complexity and create greater
The proposed rule change is available
military service and payment of the on the Exchange’s website at 4 The Exchange has four registered national
death benefit. www.nyse.com, at the principal office of securities exchange affiliates: NYSE Arca, Inc.
Analysis the Exchange, and at the Commission’s (‘‘NYSE Arca’’), New York Stock Exchange LLC
Public Reference Room. (‘‘NYSE’’), NYSE American LLC (‘‘NYSE
Agency: Retirement Operations, American’’), and Chicago Stock Exchange, Inc.
Retirement Services, Office of Personnel II. Self-Regulatory Organization’s (‘‘CHX’’ and together with the Exchange, NYSE
Management. Statement of the Purpose of, and Arca, NYSE American, and NYSE, the ‘‘NYSE
Group Exchanges’’). CHX has filed to change its
Title: Application for Death Benefits Statutory Basis for, the Proposed Rule name to NYSE Chicago, Inc. See Exchange Act
under the Federal Employees Change Release No. 84494 (October 26, 2018) (SR–CHX–
Retirement System and Documentation In its filing with the Commission, the 2018–05) (‘‘NYSE Chicago Release’’) (notice of filing
& Elections in Support of Application and immediate effectiveness of proposal to reflect
self-regulatory organization included name changes of the Exchange and its direct parent
for Death Benefits When Deceased Was statements concerning the purpose of, company and to amend certain corporate
an Employee at the Time of Death. and basis for, the proposed rule change governance provisions). The rule changes set forth
OMB Number: 3206–0172. and discussed any comments it received in the NYSE Chicago Release will become operative
Frequency: On occasion. upon the Second Amended and Restated Certificate
on the proposed rule change. The text of Incorporation of Chicago Stock Exchange, Inc.
Affected Public: Individuals or of those statements may be examined at (‘‘NYSE Chicago Certificate’’) becoming effective
households. the places specified in Item IV below. pursuant to its filing with the Secretary of State of
Number of Respondents: SF 3104 = The Exchange has prepared summaries, the State of Delaware.
5 See Exchange Act Release No. 79902 (January
12,734 and SF 3104B = 4,017.
30, 2017), 82 FR 9258 (February 3, 2017) (SR–NSX–
Estimated Time per Respondent: 60 1 15 U.S.C. 78s(b)(1). 2016–16) (order approving proposed rule change in
minutes. 2 15 U.S.C. 78a. connection with proposed acquisition of the
Total Burden Hours: 16,751 hours. 3 17 CFR 240.19b–4. Exchange by NYSE Group, Inc.).
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Document Created: 2018-11-27 23:48:45
Document Modified: 2018-11-27 23:48:45
| 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 January 28, 2019. | |
| Contact | A copy of this information collection instrument 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 or via telephone at (202) 606-4808. | |
| FR Citation | 83 FR 61176 |
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