[Federal Register Volume 72, Number 75 (Thursday, April 19, 2007)]
[Notices]
[Page 19731]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E7-7426]



[[Page 19731]]

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OFFICE OF PERSONNEL MANAGEMENT


Submission for OMB Review; Comment Request for Extension of a 
Currently Approved Information Collection: SF 3112

AGENCY: Office of Personnel Management.

ACTION: Notice.

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SUMMARY: In accordance with the Paperwork Reduction Act of 1995 (Pub. 
L. 104-13, May 22, 1995), this notice announces that the Office of 
Personnel Management (OPM) has submitted to the Office of Management 
and Budget (OMB) a request for extension of a currently approved 
information collection. 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. 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.
    Approximately 12,100 applicants for disability retirement complete 
this application annually. The SF 3112C requires approximately 60 
minutes to complete. A burden of 12,100 hours is estimated for SF 
3112C. SF 3112A is used each year by approximately 1,350 persons who 
are not Federal employees. SF 3112A requires approximately 30 minutes 
to complete and a burden of 675 hours is estimated for SF 3112A.
    All 12,100 respondents must use SF 3112C; of the 12,100, only 1,350 
of the applicants are not Federal Employees and use SF 3112A. The total 
annual burden for SF 3112 is 12,775 hours.
    For copies of this proposal, contact Mary Beth Smith-Toomey on 
(202) 606-8358, Fax (202) 418-3251 or via E-mail to <a href="/cdn-cgi/l/email-protection#1855796a615a7d6c70364b75716c70354c7777757d6158776875367f776e"><span class="__cf_email__" data-cfemail="317c504348735445591f625c5845591c655e5e5c5448715e415c1f565e47">[email protected]</span></a>. Please include a mailing address with your request.

DATES: Comments on this proposal should be received within 30 calendar 
days from the date of this publication.

ADDRESSES: Send or deliver comments to--Pamela S. Israel, Chief, 
Operations Support Group, Center for Retirement and Insurance Services, 
U.S. Office of Personnel Management, 1900 E Street, NW., Room 3349, 
Washington, DC 20415-3540 and Brenda Aguilar, OPM Desk Officer, Office 
of Information & Regulatory Affair, Office of Management and Budget, 
New Executive Office Building, NW., Room 10235, Washington, DC 20503.

FOR INFORMATION REGARDING ADMINISTRATIVE COORDINATION--CONTACT: Cyrus 
S. Benson, Team Leader, Publications Team, RIS Support Services/Support 
Group, (202) 606-0623.

U.S. Office of Personnel Management.
Tricia Hollis,
Chief of Staff.
[FR Doc. E7-7426 Filed 4-18-07; 8:45 am]
BILLING CODE 6325-38-P


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