[Federal Register Volume 69, Number 83 (Thursday, April 29, 2004)]
[Notices]
[Page 23547]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-9742]


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OFFICE OF PERSONNEL MANAGEMENT


Proposed Collection; Comment Request for Review of a Revised 
Information Collection: RI 30-10

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) intends to submit to the Office of 
Management and Budget (OMB) a request for clearance of a revised 
information collection. RI 30-10, Disabled Dependent Questionnaire, is 
used to collect sufficient information about the medical condition and 
earning capacity for the Office of Personnel Management (OPM) to be 
able to determine whether a disabled adult child is eligible for health 
benefits coverage and/or survivor annuity payments under the Civil 
Service Retirement System or the Federal Employees' Retirement System.
    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 2,500 RI 30-10 forms will be completed annually. The 
form takes approximately one hour to complete. The annual burden is 
2,500 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 FURTHER INFORMATION CONTACT: Cyrus S. Benson, Team Leader, 
Publications Team, Support Group, (202) 606-0623.

U.S. Office of Personnel Management.
Kay Coles James,
Director.
[FR Doc. 04-9742 Filed 4-28-04; 8:45 am]
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