Submission for Review: CSRS/FERS Documentation in Support of Disability Retirement Application, SF 3112, 3206-0228, 61852 [2015-26096]

Download as PDF tkelley on DSK3SPTVN1PROD with NOTICES 61852 Federal Register / Vol. 80, No. 198 / Wednesday, October 14, 2015 / Notices Analysis, Office of Personnel Management, 1900 E. Street NW., Washington, DC 20415, Attention: Cristin Kane or sent via electronic mail to cristin.kane@opm.gov. FOR FURTHER INFORMATION CONTACT: A copy of this ICR, with applicable supporting documentation, may be obtained by contacting the Office of Planning and Policy Analysis, Office of Personnel Management, 1900 E. Street, NW., Washington, DC 20415, Attention: Cristin Kane or sent via electronic mail to cristin.kane@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. Overview: In the past, the Office of Personnel Management contracted with a vendor to administer the Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey to a sample of both active Federal employees and retirees. CAHPS surveys ask consumers and patients to report on and evaluate their experiences with their health care. Since the CAHPS survey instrument is designed for the active population, it will no longer be administered to retirees. However, annuitant feedback about their health plan experience is an essential part of successful benefit administration for the Federal Employees Health Benefits (FEHB) Program. As a result, the Federal Annuitant Benefits Survey is designed to assess annuitant satisfaction with their health plan’s benefits and services. Analysis: Agency: Planning and Policy Analysis, Office of Personnel Management Title: Federal Annuitant Benefits Survey VerDate Sep<11>2014 16:39 Oct 13, 2015 Jkt 238001 OMB Number: 3260–NEW Frequency: Annually Affected Public: Federal Retirees Number of Respondents: Unknown at this time, as survey will be administered via ‘‘open participation.’’ No firm sample size exists; however, target completion is between 200 and 1,000 surveys. Estimated Time Per Respondent: 20 minutes Total Burden Hours: Dependent on final participation numbers. U.S. Office of Personnel Management. Beth F. Cobert, Acting Director. [FR Doc. 2015–26098 Filed 10–13–15; 8:45 am] BILLING CODE 6325–63–P OFFICE OF PERSONNEL MANAGEMENT Submission for Review: CSRS/FERS Documentation in Support of Disability Retirement Application, SF 3112, 3206– 0228 U.S. Office of Personnel Management. ACTION: 60-day notice and request for comments. AGENCY: 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) 3206–0228, CSRS/FERS Documentation in Support of Disability Retirement Application. As required by the Paperwork Reduction Act of 1995 (Pub. Law 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 December 14, 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 Retirement Services, U.S. Office of Personnel Management, 1900 E Street, NW., Washington, DC 20415–3500, Attention: Alberta Butler, Room 2349 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–AC, Washington, DC SUMMARY: PO 00000 Frm 00063 Fmt 4703 Sfmt 9990 20415, Attention: Cyrus S. Benson, or sent via electronic mail to Cyrus.Benson@opm.gov or faxed to (202) 606–0910. 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 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 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 under title 5, U.S.C. Sections 8337 and 8455. 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. Analysis Agency: Retirement Operations, Retirement Services, Office of Personnel Management. Title: CSRS/FERS Documentation in Support of Disability Retirement Application. OMB Number: 3206–0228. Frequency: On occasion. Affected Public: Individuals or Households. Number of Respondents: SF 3112A = 1,350; SF 3112C = 12,100. Estimated Time per Respondent: SF 3112A = 30 minutes; SF 3112C = 60 minutes. Total Burden Hours: 12,775. U.S. Office of Personnel Management. Beth F. Cobert, Acting Director [FR Doc. 2015–26096 Filed 10–13–15; 8:45 am] BILLING CODE 6325–38–P E:\FR\FM\14OCN1.SGM 14OCN1

Agencies

[Federal Register Volume 80, Number 198 (Wednesday, October 14, 2015)]
[Notices]
[Page 61852]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-26096]


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 OFFICE OF PERSONNEL MANAGEMENT


Submission for Review: CSRS/FERS Documentation in Support of 
Disability Retirement Application, SF 3112, 3206-0228

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 request (ICR) 3206-0228, CSRS/FERS Documentation 
in Support of Disability Retirement Application. As required by the 
Paperwork Reduction Act of 1995 (Pub. Law 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 December 14, 
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 Retirement Services, U.S. Office 
of Personnel Management, 1900 E Street, NW., Washington, DC 20415-3500, 
Attention: Alberta Butler, Room 2349 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-AC, 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:
    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.
    SF 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 under title 5, U.S.C. Sections 8337 and 8455. 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.

Analysis

    Agency: Retirement Operations, Retirement Services, Office of 
Personnel Management.
    Title: CSRS/FERS Documentation in Support of Disability Retirement 
Application.
    OMB Number: 3206-0228.
    Frequency: On occasion.
    Affected Public: Individuals or Households.
    Number of Respondents: SF 3112A = 1,350; SF 3112C = 12,100.
    Estimated Time per Respondent: SF 3112A = 30 minutes; SF 3112C = 60 
minutes.
    Total Burden Hours: 12,775.

U.S. Office of Personnel Management.
Beth F. Cobert,
Acting Director.
[FR Doc. 2015-26096 Filed 10-13-15; 8:45 am]
BILLING CODE 6325-38-P