[Federal Register Volume 65, Number 171 (Friday, September 1, 2000)]
[Notices]
[Page 53238]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-22492]


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OFFICE OF PERSONNEL MANAGEMENT


Submission for OMB Review; Comment Request for Reclearance 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 reclearance of a revised information 
collection. SF 3104, Application for Death Benefits/Federal Employees' 
Retirement System (FERS), is used by persons applying for death 
benefits which may be payable under 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.
    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 
(202) 606-8358, or E-mail to [email protected]

DATES: Comments on this proposal should be received on or before 
October 2, 2000.

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
    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 and Design, (202) 606-0623.

U.S. Office of Personnel Management.
Janice R. Lachance,
Director.
[FR Doc. 00-22492 Filed 8-31-00; 8:45 am]
BILLING CODE 6325-01-P