[Federal Register Volume 63, Number 200 (Friday, October 16, 1998)]
[Notices]
[Page 55659]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-27818]


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OFFICE OF PERSONNEL MANAGEMENT


Submission for OMB Review; Comment Request for Clearance of a 
Revised Information Collection: SF 3104 and SF 3104B

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 (OPM) has submitted to the Office of Management 
and Budget a request for clearance of a revised information collection. 
SF 3104, Application for Death Benefits/Federal Employees Retirement 
System, is used to apply for death benefits under the Federal Employees 
Retirement System based on 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.
    It is estimated that approximately 4,873 SF 3104s are expected to 
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 
(202) 606-8358, or E-mail to [email protected]

DATES: Comments on this proposal should be received on or before 
November 16, 1998.

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, Wshington, 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: Donna 
G. Lease, Budget & Administrative Services Division, (202) 606-0623.

U.S. Office of Personnel Management.
Janice R. Lachance,
Director.
[FR Doc. 98-27818 Filed 10-15-98; 8:45 am]
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