[Federal Register Volume 71, Number 226 (Friday, November 24, 2006)]
[Notices]
[Page 67934]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E6-19906]



[[Page 67934]]

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OFFICE OF PERSONNEL MANAGEMENT


Proposed Collection; Comment Request for Review of An Existing 
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 (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 review of an existing 
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 will only complete 
Standard Forms 3112A and 3112C. Standard Forms 3112B, 3112D and 3112E 
will be completed by the immediate supervisor and the employing agency 
of the applicant.
    Comments are particularly invited on: Whether this information is 
necessary for the proper performance of functions of the 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.
    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--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.

U.S. Office of Personnel Management.
Dan G. Blair,
Deputy Director.
[FR Doc. E6-19906 Filed 11-22-06; 8:45 am]
BILLING CODE 6325-38-P