[Federal Register Volume 65, Number 156 (Friday, August 11, 2000)]
[Notices]
[Page 49277]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-20351]


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OFFICE OF PERSONNEL MANAGEMENT


Submission for OMB Review; Comment Request for Reinstatement 
Without Change of an Information Collection

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 reinstatement without change of an 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 13,450 applicants for disability retirement complete 
Standard Forms 3112A and 3112C annually. The estimated breakdown for 
these responses are as follows: CSRS (10,000) and FERS (3,450). 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 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 
September 11, 2000.

ADDRESSES: Send or deliver comments to--

Dennis A. Matteotti, Chief, Disability, Reconsideration and Appeals 
Division, Retirement and Insurance Service, U.S. Office of Personnel 
Management, 1900 E Street, NW., Room 3468, Washington, DC 20415-3550.

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, Team Leader, Forms Analysis & Design, AMB, Budget & 
Administrative Services Division, (202) 606-0623.

U.S. Office of Personnel Management.
Janice R. Lachance,
Director.
[FR Doc. 00-20351 Filed 8-10-00; 8:45 am]
BILLING CODE 6325-01-P