Information Collection: Application for Death Benefits Under the Federal Employees Retirement System (SF 3104); and Documentation & Elections in Support of Application for Death Benefits When Deceased Was an Employee at the Time of Death (SF 3104B), 61176-61177 [2018-25901]

Download as PDF 61176 Federal Register / Vol. 83, No. 229 / Wednesday, November 28, 2018 / Notices oira_submission@omb.eop.gov or faxed to (202) 395–6974. 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. The SF 15, Application for 10-Point Veteran Preference, is used by veterans as both a request for preference and a guide to determine the appropriate documentation to submit to support their claims of 10-point veterans’ preference when applying for Federal employment. The SF 15, and the accompanying documentation, is used by agencies, OPM examining offices, and agency appointing officials to adjudicate individuals’ claims for veterans’ preference in accordance with the Veterans’ Preference Act of 1944, as amended. The proposed revisions to the SF 15 are necessary to update language as a result of the enactment of the Gold Star Fathers Act of 2015 (Pub. L. 114– 62), derived veterans’ preference for parents, and to make additional corrections on the form, as follows: • Page 1, Item 9 is revised to reflect derived veterans’ preference for parents. • Page 2, Item A, 4th bullet is corrected to read that certification is of an expected discharge or release from active duty service in the armed forces under honorable conditions not later than 120 days after the date the certification is submitted. • Page 2, Items C and F are corrected to reflect derived veterans’ preference for parents. • Several punctuation errors are corrected. Comments OPM received comments from two Federal agencies. One agency commented that the form has practical VerDate Sep<11>2014 16:19 Nov 27, 2018 Jkt 247001 utility and is needed to properly adjudicate veterans’ preference in case exam announcements. The same agency agreed with OPM’s analysis and commented that the changes in the form are likely to provide small increases in the quality, utility and clarity of the information to be collected. This agency made three suggestions on the content of the form. First, on Page 2, Item F, the agency suggested changing ‘‘physician’’ to ‘‘health care provider’’ to be more in line with current regulations and to recognize that patients may be treated by someone other than a physician. OPM agrees and is changing ‘‘physician’’ to ‘‘licensed medical professional.’’ Second, the agency asked to have the veteran’s signature block added back on the form to certify that the applicant has read, understood, and is providing accurate information. OPM is not adopting this suggestion. Many veterans and other applicants claiming 10-point veterans’ preference complete an electronic version of the SF 15 which can make signing the form difficult. After an offer of employment is made and/or at the time of appointment, an applicant signs the Optional Form (OF) 306, Declaration for Federal Employment, certifying that all application material submitted is true, correct, complete, and made in good faith. This covers the SF 15 submitted at the time of application and, therefore, it is unnecessary for the applicant to sign the SF 15 separately. Third, the agency suggested adding web links to the general veteran information from OPM to assist applicants. OPM is adopting this suggestion and adding the OPM web address in the instructions section on the form. To minimize the burden of collection of information on veterans, another agency suggested adding a statement on page 2 to indicate that questions 1–7 only need to be answered if the person claiming preference is not the veteran. OPM is adopting this suggestion. This same agency suggested adding clarity to item C on page 2 to state that ‘‘all of the following’’ must be included in the documentation provided by spouses and parents. OPM is adopting this suggestion. The SF 15 will continue to be available as a PDF fillable form for applicant use. The only acceptable version of this form will be as stated above, but consistent with current practice, the form may be submitted electronically or in hard copy. The SF 15 will be obtainable on the OPM website at https://www.opm.gov/forms/ standard-forms/. PO 00000 Frm 00033 Fmt 4703 Sfmt 4703 Analysis Agency: Talent Acquisition and Workforce Shaping, Office of Personnel Management. Title: SF 15, Application for 10-Point Veteran Preference. OMB Number: 3206–0001. Affected Public: Disabled Veterans. Number of Respondents: 18,418. Estimated Time per Respondent: 33.5 minutes. Total Burden Hours: 10,283 hours. Office of Personnel Management. Alexys Stanley, Regulatory Affairs Analyst. [FR Doc. 2018–25903 Filed 11–27–18; 8:45 am] BILLING CODE 6325–39–P OFFICE OF PERSONNEL MANAGEMENT Information Collection: Application for Death Benefits Under the Federal Employees Retirement System (SF 3104); and Documentation & Elections in Support of Application for Death Benefits When Deceased Was an Employee at the Time of Death (SF 3104B) 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 the revision of a currently approved information collection, Application for Death Benefits under the Federal Employees Retirement System (SF 3104); and Documentation & Elections in Support of Application for Death Benefits When Deceased Was an Employee at the Time of Death (SF 3104B). SUMMARY: Comments are encouraged and will be accepted until January 28, 2019. ADDRESSES: Interested persons are invited to submit written comments on the proposed information collection to Retirement Services, 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. DATES: A copy of this information collection instrument with applicable supporting documentation, may be obtained by contacting the Retirement Services Publications Team, Office of Personnel Management, 1900 E Street NW, Room FOR FURTHER INFORMATION CONTACT: E:\FR\FM\28NON1.SGM 28NON1 Federal Register / Vol. 83, No. 229 / Wednesday, November 28, 2018 / Notices 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 or via telephone at (202) 606–4808. SUPPLEMENTARY INFORMATION: As required by the Paperwork Reduction Act of 1995 (Pub. L. 104–13, 44 U.S.C. chapter 35) OPM is soliciting comments for this collection (OMB No. 3206–0172). We are 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 3104, Application for Death Benefits under the Federal Employees Retirement System, is needed to collect information so that OPM can pay death benefits to the survivor of Federal employees and annuitants. SF 3104B, Documentation in Support of Application for Death Benefits When Deceased Was an Employee at the Time of Death, 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 & 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 minutes. Total Burden Hours: 16,751 hours. VerDate Sep<11>2014 16:19 Nov 27, 2018 Jkt 247001 61177 Office of Personnel Management. Alexys Stanley, Regulatory Affairs Analyst. set forth in sections A, B, and C below, of the most significant parts of such statements. [FR Doc. 2018–25901 Filed 11–27–18; 8:45 am] A. Self-Regulatory Organization’s Statement of the Purpose of, and the Statutory Basis for, the Proposed Rule Change BILLING CODE 6325–38–P SECURITIES AND EXCHANGE COMMISSION [Release No. 34–84644; File No. SR– NYSENAT–2018–24] Self-Regulatory Organizations; NYSE National, Inc.; Notice of Filing and Immediate Effectiveness of Proposed Rule Change To Amend Its Certificate of Incorporation and Bylaws November 21, 2018. Pursuant to Section 19(b)(1) 1 of the Securities Exchange Act of 1934 (‘‘Act’’) 2 and Rule 19b–4 thereunder,3 notice is hereby given that on November 20, 2018, NYSE National, Inc. (‘‘Exchange’’ or ‘‘NYSE National’’) filed with the Securities and Exchange Commission (‘‘Commission’’) the proposed rule change as described in Items I, II, and III below, which Items have been prepared by the Exchange. The Commission is publishing this notice to solicit comments on the proposed rule change from interested persons. I. Self-Regulatory Organization’s Statement of the Terms of Substance of the Proposed Rule Change The Exchange proposes to amend its certificate of incorporation and bylaws to (1) harmonize certain provisions thereunder with similar provisions in the governing documents of the Exchange’s national securities exchange affiliates and parent companies; and (2) make clarifying and updating changes. The proposed rule change is available on the Exchange’s website at www.nyse.com, at the principal office of the Exchange, and at the Commission’s Public Reference Room. II. Self-Regulatory Organization’s Statement of the Purpose of, and Statutory Basis for, the Proposed Rule Change In its filing with the Commission, the self-regulatory organization included statements concerning the purpose of, and basis for, the proposed rule change and discussed any comments it received on the proposed rule change. The text of those statements may be examined at the places specified in Item IV below. The Exchange has prepared summaries, 1 15 U.S.C. 78s(b)(1). U.S.C. 78a. 3 17 CFR 240.19b–4. 2 15 PO 00000 Frm 00034 Fmt 4703 Sfmt 4703 1. Purpose (1) Generally [sic] The Exchange proposes to the amend the Amended and Restated Certificate of Incorporation of the Exchange (‘‘Exchange Certificate’’) and the Fifth Amended and Restated Bylaws of the Exchange (‘‘Exchange Bylaws’’) to (1) harmonize certain provisions thereunder with similar provisions in the governing documents of the Exchange’s national securities exchange affiliates 4 and parent companies; and (2) make clarifying and updating changes. The Exchange is owned by NYSE Group, Inc. (‘‘NYSE Group’’), which in turn is indirectly wholly owned by NYSE Holdings LLC (‘‘NYSE Holdings’’). NYSE Holdings is a wholly owned subsidiary of Intercontinental Holdings, Inc. (‘‘ICE Holdings’’), which is in turn wholly owned by the Intercontinental Exchange, Inc. (‘‘ICE’’).5 The Exchange operates as a separate self-regulatory organization and has rules and membership rosters distinct from the rules and membership rosters of the other NYSE Group Exchanges. At the same time, however, the Exchange believes it is important for each of the NYSE Group Exchanges to have a consistent approach to corporate governance in certain matters, to simplify complexity and create greater 4 The Exchange has four registered national securities exchange affiliates: NYSE Arca, Inc. (‘‘NYSE Arca’’), New York Stock Exchange LLC (‘‘NYSE’’), NYSE American LLC (‘‘NYSE American’’), and Chicago Stock Exchange, Inc. (‘‘CHX’’ and together with the Exchange, NYSE Arca, NYSE American, and NYSE, the ‘‘NYSE Group Exchanges’’). CHX has filed to change its name to NYSE Chicago, Inc. See Exchange Act Release No. 84494 (October 26, 2018) (SR–CHX– 2018–05) (‘‘NYSE Chicago Release’’) (notice of filing and immediate effectiveness of proposal to reflect name changes of the Exchange and its direct parent company and to amend certain corporate governance provisions). The rule changes set forth in the NYSE Chicago Release will become operative upon the Second Amended and Restated Certificate of Incorporation of Chicago Stock Exchange, Inc. (‘‘NYSE Chicago Certificate’’) becoming effective pursuant to its filing with the Secretary of State of the State of Delaware. 5 See Exchange Act Release No. 79902 (January 30, 2017), 82 FR 9258 (February 3, 2017) (SR–NSX– 2016–16) (order approving proposed rule change in connection with proposed acquisition of the Exchange by NYSE Group, Inc.). E:\FR\FM\28NON1.SGM 28NON1

Agencies

[Federal Register Volume 83, Number 229 (Wednesday, November 28, 2018)]
[Notices]
[Pages 61176-61177]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-25901]


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OFFICE OF PERSONNEL MANAGEMENT


Information Collection: Application for Death Benefits Under the 
Federal Employees Retirement System (SF 3104); and Documentation & 
Elections in Support of Application for Death Benefits When Deceased 
Was an Employee at the Time of Death (SF 3104B)

AGENCY: 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 the revision of a currently approved information collection, 
Application for Death Benefits under the Federal Employees Retirement 
System (SF 3104); and Documentation & Elections in Support of 
Application for Death Benefits When Deceased Was an Employee at the 
Time of Death (SF 3104B).

DATES: Comments are encouraged and will be accepted until January 28, 
2019.

ADDRESSES: Interested persons are invited to submit written comments on 
the proposed information collection to Retirement Services, Office of 
Personnel Management, 1900 E Street NW, Washington, DC 20415, 
Attention: Alberta Butler, Room 2347-E, or sent via electronic mail to 
[email protected].

FOR FURTHER INFORMATION CONTACT: A copy of this information collection 
instrument with applicable supporting documentation, may be obtained by 
contacting the Retirement Services Publications Team, Office of 
Personnel Management, 1900 E Street NW, Room

[[Page 61177]]

3316-L, Washington, DC 20415, Attention: Cyrus S. Benson, or sent via 
electronic mail to [email protected] or faxed to (202) 606-0910 or 
via telephone at (202) 606-4808.

SUPPLEMENTARY INFORMATION: 
    As required by the Paperwork Reduction Act of 1995 (Pub. L. 104-13, 
44 U.S.C. chapter 35) OPM is soliciting comments for this collection 
(OMB No. 3206-0172). We are 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 3104, Application for Death Benefits under the Federal Employees 
Retirement System, is needed to collect information so that OPM can pay 
death benefits to the survivor of Federal employees and annuitants. SF 
3104B, Documentation in Support of Application for Death Benefits When 
Deceased Was an Employee at the Time of Death, 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 & 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 minutes.
    Total Burden Hours: 16,751 hours.

Office of Personnel Management.
Alexys Stanley,
Regulatory Affairs Analyst.
[FR Doc. 2018-25901 Filed 11-27-18; 8:45 am]
 BILLING CODE 6325-38-P