51306 Federal Register / Vol. 82, No. 212 / Friday, November 3, 2017 / Notices 

Office of Personnel Management. 

Kathleen M. McGettigan, 

Acting Director. 

[FR Doc. 2017–23955 Filed 11–2–17; 8:45 am] 

BILLING CODE 6325–43–P 

OFFICE OF PERSONNEL 

MANAGEMENT 

Submission for Review: Application for 

Deferred Retirement (for Persons 

Separated on or after October 1, 1956), 

OPM 1496A 

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 an extension without 

change of a currently approved 

information collection request (ICR), 

Application for Deferred Retirement (for 

persons separated on or after October 1, 

1956), OPM 1496A. 

DATES: Comments are encouraged and 

will be accepted until January 2, 2018. 

ADDRESSES: Interested persons are 

invited to submit written comments on 

the proposed information collection to 

Retirement Services, U.S. Office of 

Personnel Management, 1900 E Street 

NW., Washington, DC 20415, Attention: 

Alberta Butler, Room 2347–E, 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., Room 3316–L, Washington, DC 

20415, Attention: Cyrus S. Benson, or 

sent via electronic mail to 

Cyrus.Benson@opm.gov or faxed to 

(202) 606–0910. 

SUPPLEMENTARY INFORMATION: 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 

(OMB No. 3206–0121). 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 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. 

OPM Form 1496A is used by eligible 

former Federal employees to apply for a 

deferred Civil Service annuity. 

Analysis 

Agency: Retirement Operations, 

Retirement Services, Office of Personnel 

Management. 

Title: Application for Deferred 

Retirement (for persons separated on or 

after October 1, 1956). 

OMB Number: 3206–0121. 

Frequency: On occasion. 

Affected Public: Individuals or 

Households. 

Number of Respondents: 2,800. 

Estimated Time per Respondent: 1 

hour. 

Total Burden Hours: 2,800. 

Office of Personnel Management. 

Kathleen M. McGettigan, 

Acting Director. 

[FR Doc. 2017–23960 Filed 11–2–17; 8:45 am] 

BILLING CODE 6325–38–P 

OFFICE OF PERSONNEL 

MANAGEMENT 

Submission for Review: Life Insurance 

Election, Standard Form (SF) 2817 

AGENCY: Office of Personnel 

Management. 

ACTION: 30-Day notice and request for 

comments. 

SUMMARY: The Federal Employee 

Insurance Operations (FEIO), Healthcare 

& Insurance, Office of Personnel 

Management (OPM) offers the general 

public and other Federal agencies the 

opportunity to comment on a revised 

information collection, Life Insurance 

Election, SF 2817. 

DATES: Comments are encouraged and 

will be accepted until December 4, 

2017. 

ADDRESSES: Interested persons are 

invited to submit written comments on 

the proposed information collection to 

the Office of Information and Regulatory 

Affairs, Office of Management and 

Budget, 725 17th Street NW., 

Washington, DC 20503, Attention: Desk 

Officer for the Office of Personnel 

Management or sent via electronic mail 

to oira_submission@omb.eop.gov or 

faxed to (202) 395–6974. 

FOR FURTHER INFORMATION CONTACT: A 

copy of this information collection, 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 

Cyrus.Benson@opm.gov or faxed to 

(202) 606–0910. 

SUPPLEMENTARY INFORMATION: 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. 

The information collection (OMB No. 

3206–0230) was previously published in 

the Federal Register on May 26, 2017, 

at 82 FR 24404, allowing for a 60-day 

public comment period. No comments 

were received for this collection. The 

purpose of this notice is to allow an 

additional 30 days for public comments. 

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. 

Standard Form 2817 is used by 

federal employees and assignees (those 

who have acquired control of an 

employee/annuitant’s coverage through 

an assignment or ‘‘transfer’’ of the 

ownership of the life insurance). 

Clearance of this form for use by active 

Federal employees is not required 

according to Paperwork Reduction Act. 

Therefore, only the use of this form by 


ethrower on DSK3G9T082PROD with NOTICES
Federal Register / Vol. 82, No. 212 / Friday, November 3, 2017 / Notices 51307 

assignees, i.e. members of the public, is 

subject to the Paperwork Reduction Act. 

Analysis 

Agency: Federal Employee Insurance 

Operations, Healthcare & Insurance, 

Office of Personnel Management. 

Title: Life Insurance Election. 

OMB Number: 3206–0230. 

Frequency: On occasion. 

Affected Public: Individual or 

Households. 

Number of Respondents: 150. 

Estimated Time per Respondent: 15 

minutes. 

Total Burden Hours: 38 hours. 

U.S. Office of Personnel Management 

Kathleen M. McGettigan, 

Acting Director. 

[FR Doc. 2017–23957 Filed 11–2–17; 8:45 am] 

BILLING CODE 6325–38–P 

OFFICE OF PERSONNEL 

MANAGEMENT 

Submission for Review: Disabled 

Dependent Questionnaire, RI 30–10 

AGENCY: Office of Personnel 

Management. 

ACTION: 30-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 a revised information 

collection request (ICR), Disabled 

Dependent Questionnaire, RI 30–10. 

DATES: Comments are encouraged and 

will be accepted until December 4, 

2017. 

ADDRESSES: Interested persons are 

invited to submit written comments on 

the proposed information collection to 

the Office of Information and Regulatory 

Affairs, Office of Management and 

Budget, 725 17th Street NW., 

Washington, DC 20503, Attention: Desk 

Officer for the Office of Personnel 

Management or sent via electronic mail 

to oira_submission@omb.eop.gov or 

faxed to (202) 395–6974. 

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., Room 3316–L, Washington, DC 

20415, Attention: Cyrus S. Benson, or 

sent via electronic mail to 

Cyrus.Benson@opm.gov or faxed to 

(202) 606–0910. 

SUPPLEMENTARY INFORMATION: 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. 

The information collection (OMB No. 

3206–0179) was previously published in 

the Federal Register on May 5, 2017, at 

82 FR 21275, allowing for a 60-day 

public comment period. No comments 

were received for this collection. The 

purpose of this notice is to allow an 

additional 30 days for public comments. 

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. 

Form RI 30–10 is used to collect 

sufficient information about the medical 

condition and earning capacity for the 

Office of Personnel Management to be 

able to determine whether a disabled 

adult child is eligible for health benefits 

coverage and/or survivor annuity 

payments under the Civil Service 

Retirement System or the Federal 

Employees Retirement System. 

Analysis 

Agency: Retirement Operations, 

Retirement Services, Office of Personnel 

Management. 

Title: Disabled Dependent 

Questionnaire. 

OMB Number: 3206–0179. 

Frequency: On occasion. 

Affected Public: Individual or 

Households. 

Number of Respondents: 2,500. 

Estimated Time per Respondent: 1 

hour. 

Total Burden Hours: 2,500 hours. 

U.S. Office of Personnel Management. 

Kathleen M. McGettigan, 

Acting Director. 

[FR Doc. 2017–23958 Filed 11–2–17; 8:45 am] 

BILLING CODE 6325–38–P 

OFFICE OF PERSONNEL 

MANAGEMENT 

Submission for Review: Evidence To 

Prove Dependency of a Child, RI 25–37 

AGENCY: Office of Personnel 

Management. 

ACTION: 30-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 a revised information 

collection request (ICR), Evidence to 

Prove Dependency of a Child, RI 25–37. 

DATES: Comments are encouraged and 

will be accepted until December 4, 

2017. 

ADDRESSES: Interested persons are 

invited to submit written comments on 

the proposed information collection to 

the Office of Information and Regulatory 

Affairs, Office of Management and 

Budget, 725 17th Street NW., 

Washington, DC 20503, Attention: Desk 

Officer for the Office of Personnel 

Management or sent via electronic mail 

to oira_submission@omb.eop.gov or 

faxed to (202) 395–6974. 

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., Room 3316–L, Washington, DC 

20415, Attention: Cyrus S. Benson, or 

sent via electronic mail to 

Cyrus.Benson@opm.gov or faxed to 

(202) 606–0910. 

SUPPLEMENTARY INFORMATION: 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. 

The information collection (OMB No. 

3206–0206) was previously published in 

the Federal Register on May 5, 2017, at 

82 FR 21277, allowing for a 60-day 

public comment period. No comments 

were received for this collection. The 

purpose of this notice is to allow an 

additional 30 days for public comments. 

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 


ethrower on DSK3G9T082PROD with NOTICES