Submission for Review: Report of Withholdings and Contributions for Health Benefits, Life Insurance and Retirement, 67994-67995 [2021-26063]
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67994
Federal Register / Vol. 86, No. 227 / Tuesday, November 30, 2021 / Notices
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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. 3206–0034) was
previously published in the Federal
Register on July 8, 2021 at 86 FR 36166,
allowing for a 60-day public comment
period. No comments were received for
this collection. The purpose of this
notice is to allow an additional 30 days
for public comments. 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.
RI 30–2, Annuitant’s Report of Earned
Income, is used annually to determine
if disability retirees under age 60 have
earned income which will result in the
termination of their annuity benefits
under title 5, U.S.C. Sections 8337 and
8455. It also specifies the conditions to
be met and the documentation required
for a person to request reinstatement.
Analysis
Agency: Retirement Services, Office of
Personnel Management.
Title: Annuitant’s Report of Earned
Income (Paper Form).
OMB Number: 3206–0034.
Frequency: On occasion.
Affected Public: Individuals or
Households.
Number of Respondents: 21,000.
Estimated Time per Respondent: 35
minutes.
Total Burden Hours: 12,250.
Title: Annuitant’s Report of Earned
Income (Services Online (SOL)).
VerDate Sep<11>2014
18:17 Nov 29, 2021
Jkt 256001
Number of Respondents: 24,040.
Estimated Time per Respondent: 10
minutes.
Total Burden Hours: 1,995.
Title: Annuitant’s Report of Earned
Income (Electronic Form).
Number of Respondents: 14,041.
Estimated Time per Respondent: 10
minutes.
Total Burden Hours: 2,340.
U.S. Office of Personnel Management.
Kellie Cosgrove Riley,
Director, Office of Privacy and Information
Management.
[FR Doc. 2021–26071 Filed 11–29–21; 8:45 am]
BILLING CODE 6325–38–P
OFFICE OF PERSONNEL
MANAGEMENT
[OMB Control No. 3206–0262]
Submission for Review: Report of
Withholdings and Contributions for
Health Benefits, Life Insurance and
Retirement
Office of Personnel
Management.
ACTION: 60-Day notice and request for
comments.
AGENCY:
The Office of Personnel
Management (OPM) offers the general
public and other Federal agencies the
opportunity to comment on the renewal
of a previously approved information
collection. Standard Form 2812 (Report
of Withholdings and Contributions for
Health Benefits, Life Insurance and
Retirement), Standard Form 2812A
(Report of Withholdings and
Contributions for Health Benefits by
Enrollment Code), and OPM Form 1523
(Supplemental Semiannual Headcount
Report).
SUMMARY:
Comments are encouraged and
will be accepted until January 31, 2022.
ADDRESS: You may submit comments to
the Federal Rulemaking Portal: https://
www.regulations.gov. Follow the
instructions for submitting comments.
All submissions received must include
the agency name and docket number or
RIN for this document. The general
policy for comments and other
submissions from members of the public
is to make these submissions available
for public viewing at https://
www.regulations.gov as they are
received without change, including any
personal identifiers or contact
information.
DATES:
A
copy of this ICR, with applicable
supporting documentation, may be
obtained by contacting the U.S. Office of
FOR FURTHER INFORMATION CONTACT:
PO 00000
Frm 00096
Fmt 4703
Sfmt 4703
Personnel Management, Chief Financial
Office, Financial Services, 1900 E Street
NW, Room 5478, Washington, DC
20415, Attention: Yadira Vega, or sent
by email to yadira.vega@opm.gov.
SUPPLEMENTARY INFORMATION: 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
(OMB No. 3206–0176).
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.
Standard Form 2812 (Report of
Withholdings and Contributions for
Health Benefits, Life Insurance and
Retirement), Standard Form 2812A
(Report of Withholdings and
Contributions for Health Benefits by
Enrollment Code), and OPM Form 1523
(Supplemental Semiannual Headcount
Report) are used to collect information
from payroll providers regarding
withholdings, in dollar amounts, for
health and life insurance and retirement
each pay period (SF 2812 and 2812A)
and to collect information twice each
year regarding the number of employees
enrolled in the three benefit programs
(OPM Form 1523).
Analysis
Agency: Trust Fund Management of
the Office of the 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: 3206–0262.
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67995
Federal Register / Vol. 86, No. 227 / Tuesday, November 30, 2021 / Notices
Frequency: Semiannually for OPM
Form 1523 and once-per-pay-period for
Standard Form 2812 and Standard Form
2812–A.
Affected Public: Public Entities with
Federal Employees and Retirees.
Number of Respondents: 5,200.
Estimated Time per Respondent: 30
Minutes.
Total Burden Hours: 2700.
Office of Personnel Management.
Alexys Stanley,
Regulatory Affairs Analyst.
[FR Doc. 2021–26063 Filed 11–29–21; 8:45 am]
BILLING CODE 6325–23–P
RAILROAD RETIREMENT BOARD
Agency Forms Submitted for OMB
Review, Request for Comments
In accordance with the Paperwork
Reduction Act of 1995 (44 U.S.C.
Chapter 35), the Railroad Retirement
Board (RRB) is forwarding an
Information Collection Request (ICR) to
the Office of Information and Regulatory
Affairs (OIRA), Office of Management
and Budget (OMB). Our ICR describes
the information we seek to collect from
the public. Review and approval by
OIRA ensures that we impose
appropriate paperwork burdens.
The RRB invites comments on the
proposed collections of information to
determine (1) the practical utility of the
collections; (2) the accuracy of the
estimated burden of the collections; (3)
ways to enhance the quality, utility, and
clarity of the information that is the
subject of collection; and (4) ways to
minimize the burden of collections on
respondents, including the use of
automated collection techniques or
other forms of information technology.
Comments to the RRB or OIRA must
contain the OMB control number of the
ICR. For proper consideration of your
comments, it is best if the RRB and
OIRA receive them within 30 days of
the publication date.
1. Title and purpose of information
collection: Employee’s Certification;
OMB 3220–0140.
Section 2 of the Railroad Retirement
Act (RRA) (45 U.S.C. 231a), provides for
the payment of an annuity to the spouse
or divorced spouse of a retired railroad
employee. For the spouse or divorced
spouse to qualify for an annuity, the
RRB must determine if any of the
employee’s current marriage to the
applicant is valid.
The requirements for obtaining
documentary evidence to determine
valid marital relationships are
prescribed in 20 CFR 219.30 through
219.35. Section 2(e) of the RRA requires
that an employee must relinquish all
rights to any railroad employer service
before a spouse annuity can be paid.
The RRB uses Form G–346,
Employee’s Certification, to obtain the
information needed to determine
whether the employee’s current
marriage is valid. Form G–346 is
completed by the retired employee who
is the husband or wife of the applicant
for a spouse annuity. Completion is
required to obtain a benefit. One
response is requested of each
respondent. The RRB proposes no
changes to Form G–346 or Form G–
346sum.
Consistent with 20 CFR 217.17, the
RRB uses Form G–346sum, Employee’s
Certification Summary, which mirrors
the information collected on Form G–
346, when an employee, after being
Information Collection Request (ICR)
Title: Employee’s Certification.
OMB Control Number: 3220–0140.
Forms submitted: G–346 and G–
346sum.
Type of request: Extension without
change of a currently approved
collection.
Affected public: Individuals or
Households.
Abstract: Under Section 2 of the
Railroad Retirement Act, spouses of
retired railroad employees may be
entitled to an annuity. The collection
obtains information from the employee
about the employee’s previous
marriages, if any, to determine if any
impediment exists to the marriage
between the employee and his or her
spouse.
Changes proposed: The RRB proposes
no changes to the forms in the
collection.
The burden estimate for the ICR is as
follows:
Annual
responses
Form No.
lotter on DSK11XQN23PROD with NOTICES1
interviewed by an RRB field office
representative ‘‘signs’’ the form using an
alternative signature method known as
‘‘attestation.’’ Attestation refers to the
action taken by the RRB field office
representative to confirm and annotate
the RRB’s records of the applicant’s
affirmation under penalty of perjury that
the information provided is correct and
the applicant’s agreement to sign the
form by proxy. Completion is required
to obtain a benefit. One response is
requested of each respondent.
Previous Requests for Comments: The
RRB has already published the initial
60-day notice (86 FR 53120 on
September 24, 2021) required by 44
U.S.C. 3506(c)(2). That request elicited
no comments.
Time
(minutes)
Burden
(hours)
G–346 ..........................................................................................................................................
G–346sum ...................................................................................................................................
3,300
2,260
5
5
300
188
Total ......................................................................................................................................
5,560
........................
488
2. Title and Purpose of information
collection: Railroad Separation
Allowance or Severance Pay Report;
OMB 3220–0173.
Section 6 of the Railroad Retirement
Act (45 U.S.C. 231e) provides for a
lump-sum payment to an employee or
the employee’s survivors equal to the
Tier II taxes paid by the employee on a
separation allowance or severance
payment for which the employee did
not receive credits toward retirement.
The lump-sum is not payable until
VerDate Sep<11>2014
18:17 Nov 29, 2021
Jkt 256001
retirement benefits begin to accrue or
the employee dies. Also, Section 4(a–
1)(iii) of the Railroad Unemployment
Insurance Act provides that a railroad
employee who is paid a separation
allowance is disqualified for
unemployment and sickness benefits for
the period of time the employee would
have to work to earn the amount of the
allowance. The reporting requirements
are specified in 20 CFR 209.14.
In order to calculate and provide
payments, the Railroad Retirement
PO 00000
Frm 00097
Fmt 4703
Sfmt 4703
Board (RRB) must collect and maintain
records of separation allowances and
severance payments which were subject
to Tier II taxation from railroad
employers. The RRB uses Form BA–9,
Report of Separation Allowance or
Severance Pay, to obtain information
from railroad employers concerning the
separation allowances and severance
payments made to railroad employees
and/or the survivors of railroad
employees. Employers currently have
the option of submitting their reports on
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Agencies
[Federal Register Volume 86, Number 227 (Tuesday, November 30, 2021)]
[Notices]
[Pages 67994-67995]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-26063]
-----------------------------------------------------------------------
OFFICE OF PERSONNEL MANAGEMENT
[OMB Control No. 3206-0262]
Submission for Review: Report of Withholdings and Contributions
for Health Benefits, Life Insurance and Retirement
AGENCY: Office of Personnel Management.
ACTION: 60-Day notice and request for comments.
-----------------------------------------------------------------------
SUMMARY: The Office of Personnel Management (OPM) offers the general
public and other Federal agencies the opportunity to comment on the
renewal of a previously approved information collection. Standard Form
2812 (Report of Withholdings and Contributions for Health Benefits,
Life Insurance and Retirement), Standard Form 2812A (Report of
Withholdings and Contributions for Health Benefits by Enrollment Code),
and OPM Form 1523 (Supplemental Semiannual Headcount Report).
DATES: Comments are encouraged and will be accepted until January 31,
2022.
ADDRESS: You may submit comments to the Federal Rulemaking Portal:
https://www.regulations.gov. Follow the instructions for submitting
comments. All submissions received must include the agency name and
docket number or RIN for this document. The general policy for comments
and other submissions from members of the public is to make these
submissions available for public viewing at https://www.regulations.gov
as they are received without change, including any personal identifiers
or contact information.
FOR FURTHER INFORMATION CONTACT: A copy of this ICR, with applicable
supporting documentation, may be obtained by contacting the U.S. Office
of Personnel Management, Chief Financial Office, Financial Services,
1900 E Street NW, Room 5478, Washington, DC 20415, Attention: Yadira
Vega, or sent by email to [email protected].
SUPPLEMENTARY INFORMATION: 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 (OMB No. 3206-0176).
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.
Standard Form 2812 (Report of Withholdings and Contributions for
Health Benefits, Life Insurance and Retirement), Standard Form 2812A
(Report of Withholdings and Contributions for Health Benefits by
Enrollment Code), and OPM Form 1523 (Supplemental Semiannual Headcount
Report) are used to collect information from payroll providers
regarding withholdings, in dollar amounts, for health and life
insurance and retirement each pay period (SF 2812 and 2812A) and to
collect information twice each year regarding the number of employees
enrolled in the three benefit programs (OPM Form 1523).
Analysis
Agency: Trust Fund Management of the Office of the 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: 3206-0262.
[[Page 67995]]
Frequency: Semiannually for OPM Form 1523 and once-per-pay-period
for Standard Form 2812 and Standard Form 2812-A.
Affected Public: Public Entities with Federal Employees and
Retirees.
Number of Respondents: 5,200.
Estimated Time per Respondent: 30 Minutes.
Total Burden Hours: 2700.
Office of Personnel Management.
Alexys Stanley,
Regulatory Affairs Analyst.
[FR Doc. 2021-26063 Filed 11-29-21; 8:45 am]
BILLING CODE 6325-23-P