99-24859. Proposed Collection; Comment Request for Review of a Revised Information Collection: SF 3104 and SF 3104B

[Federal Register Volume 64, Number 185 (Friday, September 24, 1999)]
[Notices]
[Page 51806]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-24859]


=======================================================================
-----------------------------------------------------------------------

OFFICE OF PERSONNEL MANAGEMENT


Proposed Collection; Comment Request for Review of a Revised 
Information Collection: SF 3104 and SF 3104B

AGENCY: Office of Personnel Management.

ACTION: Notice.

-----------------------------------------------------------------------

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 (OPM) intends to submit to the Office of 
Management and Budget a request for review of a revised information 
collection. SF 3104, Application for Death Benefits/Federal Employees 
Retirement, is used by persons applying for benefits which may be 
payable under the Federal Employees Retirement System (FERS) because of 
the death of an employee, former employee, or retiree who was covered 
by FERS at the time of his/her death or separation from Federal 
Service. SF 3104B, Documentation and Elections in Support of 
Application for Death Benefits when Deceased was an Employee at the 
Time of Death, is used by applicants for death benefits under FERS if 
the deceased was a Federal employee at the time of death.
    Comments are particularly invited on: whether this information is 
necessary for the proper performance of functions of the Office of 
Personnel Management, and whether it will have practical utility; 
whether our estimate of the public burden of this collection of 
information is accurate, and based on valid assumptions and 
methodology; and ways in which we can minimize the burden of the 
collection of information on those who are to respond, through the use 
of appropriate technological collection techniques or other forms of 
information technology.
    It is estimated that approximately 4,873 SF 3104s will be processed 
annually. This form requires approximately 60 minutes to complete. An 
annual burden of 4,873 hours is estimated. Approximately 3,188 SF 
3104Bs are expected to be processed annually. It is estimated that the 
form requires approximately 60 minutes to complete. An annual burden of 
3,188 hours is estimated. The total annual burden is 8,061.
    For copies of this proposal, contact Mary Beth Smith-Toomey on 
[phone], or E-mail to [e-mail]

DATES: Comments on this proposal should be received on or before 
November 23, 1999.

ADDRESSES: Send or deliver comments to--John C. Crawford, Chief, FERS 
Division, Retirement and Insurance Service, U.S. Office of Personnel 
Management, 1900 E Street, NW, Room 3313, Washington, DC 20415.

FOR INFORMATION REGARDING ADMINISTRATIVE COORDINATION--CONTACT: Phyllis 
R. Pinkney, Management Analyst, Budget & Administrative Services 
Division, [phone].

Office of Personnel Management.
Janice R. Lachance,
Director.
[FR Doc. 99-24859 Filed 9-23-99; 8:45 am]
BILLING CODE 6325-01-P