[Federal Register Volume 68, Number 185 (Wednesday, September 24, 2003)]
[Notices]
[Page 55296]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-24081]


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OFFICE OF PERSONNEL MANAGEMENT


Proposed Collection; Comment Request for Review of a Revised 
Information Collection: SF 3112

AGENCY: Office of Personnel Management.

ACTION: Notice.

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SUMMARY: In accordance with the Paperwork Reduction Act of 1995 (Pub. 
L. 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. 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 only completes Standard Forms 
3112A and 3112C. Standard Forms 3112B, 3112D, and 3112E, are completed 
by the immediate supervisor and the applicant's employing agency.
    Comments are particularly invited on: Whether this collection of 
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.
    Approximately 12,100 applicants for disability retirement complete 
Standard Forms 3112A and 3112C annually. This is a combined figure 
including 9,000 CSRS and 3,100 FERS applications. The SF 3112C requires 
approximately 60 minutes to complete. A burden of 12,100 hours is 
estimated for SF 3112C. SF 3112A is used each year by approximately 
1,350 persons who are not Federal employees. This is a combined figure 
including 1,000 CSRS and 350 FERS applications. SF 3112A requires 
approximately 30 minutes to complete and a burden of 675 hours is 
estimated for SF 3112A. The total annual burden for SF 3112 is 12,775 
hours.
    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, 
Operation Support Group, Center for Retirement and Insurance Services, 
U.S. Office of Personnel Management, 1900 E Street, NW, Room 3349A, 
Washington, DC 20415-3540.

For Information Regarding Administrative Coordination Contact: Cyrus S. 
Benson, Team Leader, Publications Team, Support Group, (202) 606-0623.

Office of Personnel Management.
Kay Coles James,
Director.
[FR Doc. 03-24081 Filed 9-23-03; 8:45 am]
BILLING CODE 6325-50-P