Federal Register / Vol. 79, No. 235 / Monday, December 8, 2014 / Notices 72711 

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. 

Analysis 

Agency: Trust Funds Group of the 

Office of Chief Financial Officer, Office 

of Personnel Management. 

Title: (1) Report of Withholdings and 

Contributions for Health Benefits, Life 

Insurance and Retirement (Standard 

Form 2812); (2) Report of Withholdings 

and Contributions for Health Benefits 

By Enrollment Code (Standard Form 

2812–A); (3) Supplemental Semiannual 

Headcount Report (OPM Form 1523). 

OMB Number: 3260–0262. 

Frequency: Semiannually for OPM 

Form 1523 and once-per-pay-period for 

the Standard Form 2812 and Standard 

Form 2812–A. 

Affected Public: Public Entities with 

Federal Employees and Retirees. 

Number of Respondents: 100. 

Estimated Time per Respondent: 30 

minutes. 

Total Burden Hours: 2700. 

U.S. Office of Personnel Management. 

Katherine Archuleta, 

Director. 

[FR Doc. 2014–28612 Filed 12–5–14; 8:45 am] 

BILLING CODE 6325–23–P 

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. 

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 ClingerCohen 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 

Alberta.Butler@opm.gov. 

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 Cyrus.Benson@opm.gov. 

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 

OFFICE OF PERSONNEL 

MANAGEMENT 

Excepted Service 

AGENCY: U.S. Office of Personnel 

Management (OPM). 

ACTION: Notice. 

SUMMARY: This notice identifies 

Schedule A, B, and C appointing 

authorities applicable to a single agency 

that were established or revoked from 

September 1, 2014, to September 30, 

2014. 

FOR FURTHER INFORMATION CONTACT: 

Senior Executive Resources Services, 

Senior Executive Services and 

Performance Management, Employee 

Services, (202) 606–2246. 

SUPPLEMENTARY INFORMATION: In 

accordance with 5 CFR 213.103, 

Schedule A, B, and C appointing 

authorities available for use by all 

agencies are codified in the Code of 

Federal Regulations (CFR). Schedule A, 

B, and C appointing authorities 

applicable to a single agency are not 

codified in the CFR, but the Office of 

Personnel Management (OPM) 

publishes a notice of agency-specific 

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