[Federal Register Volume 71, Number 225 (Wednesday, November 22, 2006)]
[Notices]
[Page 67656]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E6-19607]


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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 (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 (OMB) 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.
    Comments are particularly invited on:
     Whether this information is necessary for the proper 
performance of functions of OPM, 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.
    It is estimated that approximately 7,481 SF 3104 forms will be 
processed annually. This form requires approximately 60 minutes to 
complete. An annual burden of 7,481 hours is estimated. Approximately 
3,366 SF 3104B forms are expected to be processed annually. It is 
estimated that the form requires approximately 60 minutes to complete. 
An annual burden of 3,366 hours is estimated. The total annual burden 
is 10,847.
    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--Pamela S. Israel, Chief, 
Operations Support Group, Center for Retirement and Insurance Services, 
U.S. Office of Personnel Management, 1900 E Street, NW., Room 3349, 
Washington, DC 20415-3540.
    For Information Regarding Administrative Coordination Contact: 
Cyrus S. Benson, Team Leader, Publications Team, RIS Support Services/
Support Group, 202) 606-0623, Room 10235, Washington, DC 20503.

Office of Personnel Management.
Dan G. Blair,
Deputy Director.
 [FR Doc. E6-19607 Filed 11-21-06; 8:45 am]
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