96-17238. Proposed Collection; Comment Request for Review of a Currently Approved Information Collection: Standard Form 3112

[Federal Register Volume 61, Number 131 (Monday, July 8, 1996)]
[Notices]
[Pages 35817-35818]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-17238]


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OFFICE OF PERSONNEL MANAGEMENT


Proposed Collection; Comment Request for Review of a Currently 
Approved Information Collection: Standard Form 3112

AGENCY: Office of Personnel Management.

ACTION: Notice.

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[[Page 35818]]

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 intends to submit to the Office of Management and 
Budget a request for extension of a currently approved 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 [phone], 
or E-mail to [e-mail].

DATES: Comments on this proposal should be received on or before 
September 6, 1996.

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.

FOR INFORMATION REGARDING ADMINISTRATIVE COORDINATION CONTACT: Mary 
Beth Smith-Toomey, Management Services Division, [phone].

U.S. Office of Personnel Management.
Lorraine A. Green,
Deputy Director.
[FR Doc. 96-17238 Filed 7-5-96; 8:45 am]
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