[Federal Register Volume 69, Number 128 (Tuesday, July 6, 2004)]
[Notices]
[Pages 40687-40688]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-15132]


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OFFICE OF PERSONNEL MANAGEMENT


Submission for OMB Review; 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 (Pub. 
L. 104-13, May 22, 1995), this notice announces that the Office of 
Personnel Management (OPM) has submitted to the Office of Management 
and Budget (OMB) a request for review of a revised information 
collection. RI 30-10,

[[Page 40688]]

Disabled Dependent Questionnaire, is used to collect sufficient 
information about the medical condition and earning capacity for 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.
    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 30 calendar 
days from the date of this publication.

ADDRESSES: Send or deliver comments to--Ronald W. Melton, Deputy 
Assistant Director, Retirement Services Program, Center for Retirement 
and Insurance Services, U.S. Office of Personnel Management, 1900 E 
Street, NW., Room 3305, Washington, DC 20415-3540; and Joseph Lackey, 
OPM Desk Officer, Officeof Information & Regulatory Affairs, Office of 
Management and Budget, New Executive Office Building, NW., Room 10235, 
Washington, DC 20503.

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

    Office of Personnel Management.
Kay Coles James,
Director.
[FR Doc. 04-15132 Filed 7-2-04; 8:45 am]
BILLING CODE 6325-30-P