[Federal Register Volume 68, Number 131 (Wednesday, July 9, 2003)]
[Notices]
[Pages 41026-41027]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-17382]


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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.

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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) will submit to the Office of Management and 
Budget (OMB) a request for review 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

[[Page 41027]]

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:
    [sbull] Whether this information is necessary for the proper 
performance of functions of OPM, and whether it will have practical 
utility;
    [sbull] Whether our estimate of the public burden of this 
collection of information is accurate, and based on valid assumptions 
and methodology; and
    [sbull] 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 
(202) 606-8358, FAX (202) 418-3251 or via E-mail to [email protected]. 
Please include a mailing address with your request.

DATES: Comments on this proposal should be received within 60 calendar 
days from the date of this publication.

ADDRESSES: Send or deliver comments to Ronald W. Melton, Chief, 
Operations Support Group, Center for Retirement and Insurance Services, 
Office of Personnel Management, 1900 E Street, NW., Room 3425, 
Washington, DC 20415-3660.
    For information regarding administrative coordination contact: 
Cyrus S. Benson, Team Leader, Publications Team, RIS Support Services, 
(202) 606-0623.

    Office of Personnel Management.
Kay Coles James,
Director.
[FR Doc. 03-17382 Filed 7-8-03; 8:45 am]
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