Submission for Review: 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), 52075-52076 [2022-18182]

Agencies

• Office of Personnel Management

[Federal Register Volume 87, Number 163 (Wednesday, August 24, 2022)]
[Notices]
[Pages 52075-52076]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-18182]


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OFFICE OF PERSONNEL MANAGEMENT


Submission for Review: 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: 30-Day notice and request for comments.

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SUMMARY: Retirement Services, Office of Personnel Management (OPM) 
offers the general public and other Federal agencies the opportunity to 
comment on an expiring information collection request (ICR), 
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 September 23, 
2022.

ADDRESSES: Written comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to https://www.reginfo.gov/public/do/PRAMain. Find this 
particular information collection by selecting ``Currently under 
Review--Open for Public Comments'' or by using the search function.

FOR FURTHER INFORMATION CONTACT: A copy of this information collection, 
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. 3206-0160) was previously published in the Federal 
Register on February 18, 2022 at 87 FR 9397, 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:

[[Page 52076]]

    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 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 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.
Kellie Cosgrove Riley,
Director, Office of Privacy and Information Management.
[FR Doc. 2022-18182 Filed 8-23-22; 8:45 am]
BILLING CODE 6325-38-P