Submission for Review: 3206-0140, Representative Payee Application (RI 20-7) and Information Necessary for a Competency Determination (RI 30-3), 6380-6381 [2021-01248]

Download as PDF 6380 Federal Register / Vol. 86, No. 12 / Thursday, January 21, 2021 / Notices j. To an official of another Federal agency, information needed in the performance of official duties related to reconciling or reconstructing data files; compiling descriptive statistics; and/or making analytical studies to support the function for which the records were collected and maintained. k. To a spouse or dependent child (or court-appointed guardian thereof) of an FEHB enrollee whether the enrollee has made enrollment changes, including changing FEHB plans; cancelling or suspending FEHB enrollment; and changing from a Self and Family to a Self Plus One or Self Only health benefits enrollment, or from a Self Plus One to Self Only health benefits enrollment. l. To provide an official of another Federal agency information needed in the performance of official duties related to federal employee health benefits counseling, customer service, or operational readiness. m. To the following recipients, information needed to conduct an analytical study of benefits being paid under the FEHB Program or the recipient’s benefits program(s): Federal, State, or local agencies. n. To the following recipients, information needed to adjudicate a claim for benefits under the FEHB Program or the recipient’s benefits program(s): Federal, State, local, or agencies. o. To another Federal or non-Federal entity, information needed to verify enrollment information through the use of computer matching agreements under the Privacy Act of 1974, as amended (5 U.S.C. 552a). POLICIES AND PRACTICES FOR STORAGE OF RECORDS: These records in this system of records are stored electronically on OPM’s servers hosted at an OPM data center and at the U.S. Department of Agriculture’s National Finance Center. Access to the electronic systems is restricted to authorized users with a need to know. POLICIES AND PRACTICES FOR RETRIEVAL OF RECORDS: jbell on DSKJLSW7X2PROD with NOTICES These records in this system of records are retrieved primarily by name and Social Security number, but may be retrieved by any personal identifier. POLICIES AND PRACTICES FOR RETENTION AND DISPOSAL OF RECORDS: A records retention schedule will be established with NARA for the records about covered individuals in this system of records and, until it is finalized, records will be treated as permanent. Once that schedule is established, the VerDate Sep<11>2014 20:44 Jan 19, 2021 Jkt 253001 method(s) for disposing of records that are no longer be eligible for retention will be established. ADMINISTRATIVE, TECHNICAL, AND PHYSICAL SAFEGUARDS: Records in this system are protected from unauthorized access and misuse through various administrative, technical and physical security measures. OPM security measures are in compliance with the Federal Information Security Modernization Act of 2014 (Pub. L. 113–203), associated OMB policies, and applicable standards and guidance from the National Institute of Standards and Technology (NIST). RECORD ACCESS PROCEDURES: Individuals seeking notification of and access to their records in this system of records may do so by submitting a request in writing to the Office of Personnel Management, Office of Privacy and Information Management—FOIA, 1900 E Street NW, Washington, DC 20415–7900 or by emailing foia@opm.gov; ATTN: Healthcare and Insurance. Individuals must furnish the following information for their records to be located: 1. Full name, including any former name. 2. Date of birth. 3. Social Security Number. 4. Name and address of employing agency or retirement system. 5. Reasonable specification of the requested information. 6. The address to which the information should be sent. 7. Signature. Individuals requesting access must also comply with OPM’s Privacy Act regulations regarding verification of identity and access to records (5 CFR 297). Enrollees who request access to their records will have access to the entirety of their record, to include information about all covered individuals who are part of their enrollment record. Family members of the enrollee who request access to their records may have access only to their own information and not to that of the enrollee or other covered family members. CONTESTING RECORD PROCEDURES: Individuals wishing to request amendment of records about them may do so by writing to the Office of Personnel Management, Office of Privacy and Information Management— FOIA, 1900 E Street NW, Washington, DC 20415–7900 or by emailing foia@ opm.gov; ATTN: Healthcare and Insurance. Requests for amendment of records should include the words PO 00000 Frm 00092 Fmt 4703 Sfmt 4703 ‘‘PRIVACY ACT AMENDMENT REQUEST’’ in capital letters at the top of the request letter; if emailed include those words in the subject line. Individuals must furnish the following information for their records to be located: 1. Full name, including any former name, and address. 2. Date of birth. 3. Social Security Number. 4. Name and address of employing agency or retirement system. 5. Precise identification of the information to be amended. 6. Signature. Individuals requesting amendment must also comply with OPM’s Privacy Act regulations regarding verification of identity and access to records (5 CFR 297). OPM may refer amendment requests to employing agencies, retirement systems, and FEHB Carriers because they may be the ultimate source of FEHB enrollment records. NOTIFICATION PROCEDURES: See ‘‘Record Access Procedure.’’ EXEMPTIONS PROMULGATED FOR THE SYSTEM: None. HISTORY: OPM/Central–1, ‘‘Civil Service Retirement and Insurance Records’’, 73 FR 15013 (March 20, 2008), 80 FR 74815 (November 30, 2015). [FR Doc. 2021–01259 Filed 1–19–21; 8:45 am] BILLING CODE 6325–XX–P OFFICE OF PERSONNEL MANAGEMENT Submission for Review: 3206–0140, Representative Payee Application (RI 20–7) and Information Necessary for a Competency Determination (RI 30–3) Office of Personnel Management. ACTION: 30-Day notice and request for comments. AGENCY: 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), RI 20–7 [Representative Payee Application] and RI 30–3 [Information for a Competency Determination]. DATES: Comments are encouraged and will be accepted until February 22, 2021. SUMMARY: Interested persons are invited to submit written comments on the proposed information collection to ADDRESSES: E:\FR\FM\21JAN1.SGM 21JAN1 jbell on DSKJLSW7X2PROD with NOTICES Federal Register / Vol. 86, No. 12 / Thursday, January 21, 2021 / Notices 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 or via telephone at (202) 606–4808. SUPPLEMENTARY INFORMATION: As required by the Paperwork Reduction Act of 1995 OPM is soliciting comments for this collection. The information collection (OMB No. 3206–0140) was previously published in the Federal Register on April 13, 2020 at 85 FR 20532, allowing for a 60-day public comment period. No comments were received. 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. Form RI 20–7 is used by the Civil Service Retirement System (CSRS) and the Federal Employees Retirement System (FERS) to collect information from persons who apply to be fiduciaries for annuitants or survivor annuitants who appear to be incapable of handling their own funds or for minor children. RI 30–3 is an enclosure to RI 20–7 and is needed for adult annuitants who are alleged to be incompetent. RI 30–3 collects medical information regarding the annuitant’s VerDate Sep<11>2014 20:44 Jan 19, 2021 Jkt 253001 competency for OPM’s use in evaluating the annuitant’s condition. Analysis Agency: Retirement Operations, Retirement Services, Office of Personnel Management. Title: Annuity Supplement Earnings Report. OMB Number: 3206–0140. Frequency: On occasion. Affected Public: Individuals or Households. Number of Respondents: 12,480 [RI 20–7] and 250 [RI 30–3]. Estimated Time per Respondent: 30 minutes [RI 20–7] and 1 hour [RI 30–3]. Total Burden Hours: 6,240 [RI 20–7] and 250 [RI 30–3]. Office of Personnel Management. Alexys Stanley, Regulatory Affairs Analyst. [FR Doc. 2021–01248 Filed 1–19–21; 8:45 am] BILLING CODE 6325–38–P OFFICE OF PERSONNEL MANAGEMENT Submission for Review: 3206–0128, Application for Refund of Retirement Deductions (CSRS)—SF 2802 and Current/Former Spouse’s Notification for Refund of Retirement Deductions Under CSRS—SF 2802A Office of Personnel Management. ACTION: 30-Day notice and request for comments. AGENCY: 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), SF 2802 [Application for Refund of Retirement Deductions: CSRS] and SF 2802A [Notification of Application for Refund of Retirement Deductions Under CSRS]. DATES: Comments are encouraged and will be accepted until February 22, 2021. SUMMARY: 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 ADDRESSES: PO 00000 Frm 00093 Fmt 4703 Sfmt 4703 6381 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 or via telephone at (202) 606–4808. SUPPLEMENTARY INFORMATION: As required by the Paperwork Reduction Act of 1995 OPM is soliciting comments for this collection. The information collection (OMB No. 3206–0128) was previously published in the Federal Register on June 1, 2020 at 85 FR 33206, allowing for a 60-day public comment period. No comments were received. 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. Standard Form 2802 is used to support the payment of monies from the Retirement Fund. It identifies the applicant for refund of retirement deductions. Standard Form 2802A is used to comply with the legal requirement that any spouse or former spouse of the applicant has been notified that the former employee is applying for a refund. Analysis Agency: Retirement Operations, Retirement Services, Office of Personnel Management. Title: Application for Refund of Retirement Deductions (CSRS) and Current/Former Spouse’s Notification of Application for Refund of Retirement Deductions under CSRS. OMB Number: 3206–0128. Frequency: On occasion. Affected Public: Individuals or Households. Number of Respondents: 3,741 [SF 2802] and 3,389 [SF 2802A]. E:\FR\FM\21JAN1.SGM 21JAN1

Agencies

[Federal Register Volume 86, Number 12 (Thursday, January 21, 2021)]
[Notices]
[Pages 6380-6381]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-01248]


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OFFICE OF PERSONNEL MANAGEMENT


Submission for Review: 3206-0140, Representative Payee 
Application (RI 20-7) and Information Necessary for a Competency 
Determination (RI 30-3)

AGENCY: Office of Personnel Management.

ACTION: 30-Day notice and request for comments.

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

SUMMARY: 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), RI 20-7 
[Representative Payee Application] and RI 30-3 [Information for a 
Competency Determination].

DATES: Comments are encouraged and will be accepted until February 22, 
2021.

ADDRESSES: Interested persons are invited to submit written comments on 
the proposed information collection to

[[Page 6381]]

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: [email protected] 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 [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 OPM is soliciting comments for this collection. The information 
collection (OMB No. 3206-0140) was previously published in the Federal 
Register on April 13, 2020 at 85 FR 20532, allowing for a 60-day public 
comment period. No comments were received. 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.
    Form RI 20-7 is used by the Civil Service Retirement System (CSRS) 
and the Federal Employees Retirement System (FERS) to collect 
information from persons who apply to be fiduciaries for annuitants or 
survivor annuitants who appear to be incapable of handling their own 
funds or for minor children. RI 30-3 is an enclosure to RI 20-7 and is 
needed for adult annuitants who are alleged to be incompetent. RI 30-3 
collects medical information regarding the annuitant's competency for 
OPM's use in evaluating the annuitant's condition.

Analysis

    Agency: Retirement Operations, Retirement Services, Office of 
Personnel Management.
    Title: Annuity Supplement Earnings Report.
    OMB Number: 3206-0140.
    Frequency: On occasion.
    Affected Public: Individuals or Households.
    Number of Respondents: 12,480 [RI 20-7] and 250 [RI 30-3].
    Estimated Time per Respondent: 30 minutes [RI 20-7] and 1 hour [RI 
30-3].
    Total Burden Hours: 6,240 [RI 20-7] and 250 [RI 30-3].

Office of Personnel Management.
Alexys Stanley,
Regulatory Affairs Analyst.
[FR Doc. 2021-01248 Filed 1-19-21; 8:45 am]
BILLING CODE 6325-38-P