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]
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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:
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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
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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
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Frm 00092
Fmt 4703
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‘‘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
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20:44 Jan 19, 2021
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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].
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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]
-----------------------------------------------------------------------
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
