[Federal Register Volume 59, Number 200 (Tuesday, October 18, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-25701]
[[Page Unknown]]
[Federal Register: October 18, 1994]
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OFFICE OF PERSONNEL MANAGEMENT
Notice of Request for Reclearance of Form OPM 1536
AGENCY: Office of Personnel Management.
ACTION: Notice.
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SUMMARY: In accordance with the Paperwork Reduction Act of 1980 (title
44, U.S. Code, chapter 35), this notice announces a request for a
reclearance of an information collection. Form OPM 1536, Former
Spouse's Application for Survivor Annuity Under the Civil Service
Retirement System, is designed for use by former spouses of Federal
employees and annuitants who are applying for a monthly Civil Service
Retirement System benefit. This application collects information about
whether the applicant is covered by the Federal Employees Health
Benefits Program and about any court order which awards the applicant
retirement benefits.
There are estimated to be 500 respondents for OPM 1536. It takes
approximately 45 minutes to complete OPM 1536. The combined annual
burden is 375 hours.
For copies of this proposal, contact C. Ronald Trueworthy on (703)
908-8550.
DATES: Comments on this proposal should be received on or before
November 17, 1994.
ADDRESSES: Send or deliver comments to--
Lorraine E. Dettman, Retirement and Insurance Group, Operations Support
Division, U.S. Office of Personnel Management, 1900 E. Street NW., room
3349, Washington, DC 20415, and
Joseph Lackey, OPM Desk Officer, Office of Information and Regulatory
Affairs, Office of Management and Budget, New Executive Office
Building, NW., room 10235, Washington, DC 20503.
FOR INFORMATION REGARDING ADMINISTRATIVE COORDINATION--CONTACT:
Mary Beth Smith-Toomey, Chief, Forms Analysis and Design, (202) 606-
0623.
U.S. Office of Personnel Management.
Lorraine A. Green,
Deputy Director.
[FR Doc. 94-25701 Filed 10-17-94; 8:45 am]
BILLING CODE 6325-01-M
