[Federal Register Volume 82, Number 70 (Thursday, April 13, 2017)]
[Notices]
[Page 17893]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-07460]



[[Page 17893]]

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OFFICE OF PERSONNEL MANAGEMENT


Submission for Review: CSRS/FERS Documentation in Support of 
Disability Retirement Application, SF 3112

AGENCY: Office of Personnel Management.

ACTION: 60-Day notice and request for comments.

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SUMMARY: The Retirement Services, Office of Personnel Management (OPM) 
offers the general public and other Federal agencies the opportunity to 
comment on an extension without change, of a currently approved 
information collection request (ICR), CSRS/FERS Documentation in 
Support of Disability Retirement Application, SF 3112.

DATES: Comments are encouraged and will be accepted until June 12, 
2017.

ADDRESSES: Interested persons are invited to submit written comments on 
the proposed information collection to Retirement Services, U.S. Office 
of Personnel Management, 1900 E Street NW., Washington, DC 20415, 
Attention: Alberta Butler, Room 2347-E or sent via electronic mail to 
[email protected].

FOR FURTHER INFORMATION CONTACT: A copy of this ICR with applicable 
supporting documentation, may be obtained by contacting the Retirement 
Services Publications Team, Office of Personnel Management, 1900 E 
Street NW., Room 3316-L, Washington, DC 20415, Attention: Cyrus S. 
Benson, or sent via electronic mail to [email protected] or faxed to 
(202) 606-0910.

SUPPLEMENTARY INFORMATION: As required by the Paperwork Reduction Act 
of 1995 (Pub. L. 104-13, 44 U.S.C. chapter 35) as amended by the 
Clinger-Cohen Act (Pub. L. 104-106), OPM is soliciting comments for 
this collection (OMB No. 3206-0228).
The Office of Management and Budget is particularly interested in 
comments that:
    1. Evaluate whether the proposed collection of information is 
necessary for the proper performance of functions of the agency, 
including whether the information will have practical utility;
    2. Evaluate the accuracy of the agency's estimate of the burden of 
the proposed collection of information, including the validity of the 
methodology and assumptions used;
    3. Enhance the quality, utility, and clarity of the information to 
be collected; and
    4. Minimize the burden of the collection of information on those 
who are to respond, including through the use of appropriate automated, 
electronic, mechanical, or other technological collection techniques or 
other forms of information technology, e.g., permitting electronic 
submissions of responses.
    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 under title 5, U.S.C. Sections 8337 and 8455. 
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.

Analysis

    Agency: Retirement Operations, Retirement Services, Office of 
Personnel Management.
    Title: CSRS/FERS Documentation in Support of Disability Retirement 
Application.
    OMB Number: 3206-0228.

    Frequency: On occasion.
    Affected Public: Individuals or Households.
    Number of Respondents: SF 3112A = 1,350; SF 3112C = 12,100.
    Estimated Time per Respondent: SF 3112A = 30 minutes; SF 3112C = 60 
minutes.
    Total Burden Hours: 12,775.

U.S. Office of Personnel Management.
Kathleen M. McGettigan,
Acting Director.
[FR Doc. 2017-07460 Filed 4-12-17; 8:45 am]
 BILLING CODE 6325-38-P