[Federal Register Volume 79, Number 235 (Monday, December 8, 2014)]
[Notices]
[Page 72711]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-28613]


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 OFFICE OF PERSONNEL MANAGEMENT


Submission for Review: Application for Death Benefits Under the 
Federal Employees Retirement System SF 3104; and Documentation and 
Elections in Support of Application for Death Benefits When Deceased 
Was an Employee at the Time of Death SF 3104B, 3206-0172

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 (ICR) 3206-0172, Application for Death Benefits 
Under the Federal Employees Retirement System and Documentation and 
Elections in Support of Application for Death Benefits When Deceased 
Was an Employee at the Time of Death. 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.

DATES: Comments are encouraged and will be accepted until February 6, 
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 the U.S. Office of Personnel 
Management, Retirement Services, Union Square Room 370, 1900 E. Street 
NW., Washington, DC 20415-3500, Attention: Alberta Butler or sent via 
electronic mail to <a href="/cdn-cgi/l/email-protection#6e2f020c0b1c1a0f402c1b1a020b1c2e011e0340090118"><span class="__cf_email__" data-cfemail="b2f3ded0d7c0c6d39cf0c7c6ded7c0f2ddc2df9cd5ddc4">[email protected]</span></a>.

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., Washington, DC 20415, Attention: Cyrus S. Benson or sent 
via electronic mail to <a href="/cdn-cgi/l/email-protection#eaa993989f99c4a88f84998584aa859a87c48d859c"><span class="__cf_email__" data-cfemail="43003a3136306d01262d302c2d032c332e6d242c35">[email protected]</span></a>.

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 the 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 is needed to collect information so that OPM can pay death 
benefits to the survivor of Federal employees and annuitants. SF 3104B 
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 and 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
    Total Burden Hours: 16,751

U.S. Office of Personnel Management.
Katherine Archuleta,
Director.
[FR Doc. 2014-28613 Filed 12-5-14; 8:45 am]
BILLING CODE 6325-38-P


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