SUPPLEMENTARY INFORMATION:

Standard Form 3102, CSRS/FERS Designation of Beneficiary, is used by an employee or annuitant covered under the Civil Service Retirement System or the Federal Employees Retirement System to designate a beneficiary to receive any lump sum due in the event of his/her death.

OPM is requesting approval for this form to be designated as a “common form.” A common form is an information collection that can be used by two or more agencies, or government-wide, for the same purpose. It allows a host agency to obtain OMB approval of an information collection for use by one or more “using” agencies. After OMB grants approval, a prospective using agency that seeks to collect identical information for the same purpose can obtain approval to use the common form by providing its agency-specific information to OMB ( e.g., burden estimates and number of respondents). See Frequently Asked Questions about ROCIS's New Common Forms Module ( whitehouse.gov). OPM seeks the designation as a common form because this form is used by all Federal employees to designate a beneficiary to any lump sum due in the event of his/her death.

As required by the Paperwork Reduction Act of 1995 (Pub. L. 104-13), as amended (44 U.S.C. chapter 35), OPM is soliciting comments for this collection (OMB No. 3206-0173). OPM 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.

Analysis

Agency: Office of Personnel Management, Retirement Services.

Title: CSRS/FERS Designation of Beneficiary.

OMB Number: 3206-0173.

Frequency: On occasion.

Affected Public: Individuals or Households.

Number of Respondents: 3,888.

Estimated Time per Respondent: 15 minutes.

Total Burden Hours: 972.

89 FR 45034