[Federal Register Volume 61, Number 242 (Monday, December 16, 1996)]
[Notices]
[Page 66064]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-31743]
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OFFICE OF PERSONNEL MANAGEMENT
Submission for OMB Review; Comment Request for Review of a
Revised Information Collection: Standard Form 3112
AGENCY: Office of Personnel Management.
ACTION: Notice.
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SUMMARY: In accordance with the Paperwork Reduction Act of 1995 (Public
Law 104-13, May 22, 1995), this notice announces that the Office of
Personnel Management has submitted to the Office of Management and
Budget a request for review of a revised information collection.
Standard Form 3112, CSRS/FERS Documentation in Support of Disability
Retirement Application, collects information from applicants for
disability retirement so that OPM can determine whether to approve a
disability retirement. The applicant will only complete Standard Forms
3112A and 3112C. Standard Forms: 3112B, 3112D, and 3112E will be
completed by the immediate supervisor and the employing agency of the
applicant.
Approximately 12,100 Standard Form 3112, SF 3112A and SF 3112C will
be completed annually. The SF 3112A requires approximately 30 minutes
to complete and the SF 3112C requires approximately 60 minutes to
complete. The annual burden is 12,775 hours.
For copies of this proposal, contact Jim Farron on (202) 418-3208,
or E-mail to jmfarron@mail.opm.gov
DATES: Comments on this proposal should be received on or before
January 15, 1997.
ADDRESS: Send or deliver comments to--
Lorraine E. Dettman, Chief, Operations Support Division, Retirement and
Insurance Service, U.S. Office of Personnel Management, 1900 E Street,
NW, Room 3349 Washington, DC 20415
and
Joseph Lackey, OPM Desk Officer, Office of Information & Regulatory
Affairs, Office of Management & Budget, New Executive Office Building,
NW, Room 10235, Washington, DC 20503.
FOR INFORMATION REGARDING ADMINISTRATIVE COORDINATION--CONTACT: Mary
Beth Smith-Toomey, Management Services Division, (202) 606-0623.
U.S. Office of Personnel Management.
Lorraine A. Green,
Deputy Director.
[FR Doc. 96-31743 Filed 12-13-96; 8:45 am]
BILLING CODE 6325-01-M
