[Federal Register Volume 74, Number 249 (Wednesday, December 30, 2009)]
[Notices]
[Page 69155]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-30977]


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OFFICE OF PERSONNEL MANAGEMENT

[OMB Control No. 3206-0179; Form RI 30-10]


Proposed Collection; Comment Request for Review of a Revised 
Information Collection

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 review of a revised 
information collection. This information collection, ``Disabled 
Dependent Questionnaire'' (OMB Control No. 3206-0179; Form RI 30-10), 
is used to collect sufficient information about the medical condition 
and earning capacity for the Office of Personnel Management 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 are completed annually. The form 
takes approximately 1 hour to complete. The annual estimated burden is 
2,500 hours.
    For copies of this proposal, contact Cyrus S. Benson on (202) 606-
4808, FAX (202) 606-0910 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--James K. Freiert, 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 20415-3500.
    For information regarding administrative coordination contact: 
Cyrus S. Benson, Team Leader, Publications Team, RIS Support Services/
Support Group, U.S. Office of Personnel Management, 1900 E Street, NW., 
Room 4H28, Washington, DC 20415. (202) 606-4808.

John Berry,
Director, U.S. Office of Personnel Management.
[FR Doc. E9-30977 Filed 12-29-09; 8:45 am]
BILLING CODE 6325-38-P