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, 72711 [2014-28613]

Download as PDF Federal Register / Vol. 79, No. 235 / Monday, December 8, 2014 / Notices 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 mstockstill on DSK4VPTVN1PROD with NOTICES 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 U.S. Office of Personnel Management. AGENCY: VerDate Sep<11>2014 20:19 Dec 05, 2014 Jkt 235001 60-day notice and request for comments. ACTION: 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 SUMMARY: PO 00000 Frm 00091 Fmt 4703 Sfmt 4703 72711 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 U.S. Office of Personnel Management (OPM). ACTION: Notice. AGENCY: 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. SUMMARY: 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 E:\FR\FM\08DEN1.SGM 08DEN1

Agencies

[Federal Register Volume 79, Number 235 (Monday, December 8, 2014)]
[Proposed Rules]
[Page 72711]
From the Federal Register Online via the Government Printing 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.

-----------------------------------------------------------------------

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 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
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