[Federal Register Volume 82, Number 117 (Tuesday, June 20, 2017)]
[Notices]
[Pages 28094-28095]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-12778]



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DEPARTMENT OF JUSTICE

[OMB Number 1121-0220]


Agency Information Collection Activities; Proposed New E-
Collection; Bureau of Justice Assistance Application Form: Public 
Safety Officers' Benefits (PSOB) Program Applications Package

AGENCY: Bureau of Justice Assistance, Department of Justice.

ACTION: 60-Day notice.

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SUMMARY: The Department of Justice, Office of Justice Programs, Bureau 
of Justice Assistance, has submitted the following information 
collection request for review and clearance in accordance with the 
Paperwork Reduction Act of 1995.

DATES: Comments are encouraged and will be accepted for 60 days until 
August 21, 2017.

FOR FURTHER INFORMATION CONTACT: If you have additional comments 
especially on the estimated public burden or associated response time, 
suggestions, or need a copy of the proposed information collection 
instrument with instructions or additional information, please contact 
Michelle Martin, Senior Management Analyst, Bureau of Justice 
Assistance, 810 Seventh Street NW., Washington, DC 20531 (phone: 202 
514-9354).

SUPPLEMENTARY INFORMATION: Written comments and suggestions from the 
public and affected agencies concerning the proposed collection of 
information are encouraged. Your comments should address one or more of 
the following four points:

--Evaluate whether the proposed collection of information is necessary 
for the proper performance of the functions of the Bureau of Justice 
Assistance, including whether the information will have practical 
utility;
--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;
--Evaluate whether and if so how the quality, utility, and clarity of 
the information to be collected can be enhanced; and
--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 
submission of responses.

Overview of This Information Collection

    1. Type of Information Collection: Substantive change to a 
currently approved collection.
    2. The Title of the Form/Collection: Public Safety Officers' 
Benefits (PSOB) Program Applications Package (including currently 
approved collections: Public Safety Officers' Death Benefits 
Applications (1121-0024 and 1121-0025), Public Safety Officers' 
Disability Benefits Application (1121-0166), Public Safety Officers' 
Educational Assistance Application (1121-0220), and a new form titled: 
Public Safety Officers' Appeal Request Application.)
    3. The agency form number, if any, and the applicable component of 
the Department sponsoring the collection: None. The applicable 
component within the Department of Justice is the Bureau of Justice 
Assistance, in the Office of Justice Programs.
    4. Affected public who will be asked or required to respond, as 
well as a brief abstract:
    Primary: Public Safety Officers who were permanently and totally 
disabled in the line of duty; eligible survivors of Public Safety 
Officers who were killed in the line of duty; eligible spouses and 
children who receive PSOB death benefits, or whose spouse or parent 
received the PSOB disability benefit.
    Abstract: BJA's Public Safety Officers' Benefits (PSOB) Office will 
use the Public Safety Officers' Benefits Program Applications Package 
(including: The Public Safety Officers' Death Benefits Application, the 
Public Safety Officers' Disability Benefits Application, the Public 
Safety Officers' Educational Assistance Application, the Public Safety 
Officers' Appeal Request Application) to collect and confirm the 
following:
     Public Safety Officer Death Benefits Application: BJA's 
Public Safety Officers' Benefits (PSOB) Office will use the Public 
Safety Officer Death Benefits Application information to confirm the 
eligibility of applicants to receive Public Safety Officers' Death 
Benefits. Eligibility is dependent on several factors, including Public 
Safety Officer status, an injury sustained in the line of duty, and the 
claimant status in the beneficiary hierarchy according to the PSOB Act. 
In addition, information to help the PSOB Office identify an individual 
is collected, such as a Social Security number for the Public Safety 
Officer, telephone numbers, and email addresses.
    Public Safety Officer Disability Benefits Application: BJA's Public 
Safety Officers' Benefits (PSOB) Office will use the PSOB Disability 
Application information to confirm the eligibility of applicants to 
receive Public Safety Officers' Disability Benefits. Eligibility is 
dependent on several factors, including Public Safety Officer status, 
injury sustained in the line of duty, and the total and permanent 
nature of the line of duty injury. In addition, information to help the 
PSOB Office identify individuals is collected, such as Social Security 
number for the Public Safety Officer, telephone numbers, and email 
addresses.
     Public Safety Officer Educational Assistance Application: 
BJA's Public Safety Officers' Benefits (PSOB) Office will use the 
Public Safety Officer Educational Assistance Application information to 
confirm the eligibility of applicants to receive Public Safety Officer 
Educational Assistance benefits. Eligibility is dependent on several 
factors, including the applicant having received or being eligible to 
receive a portion of the PSOB Death Benefit, or having a spouse or 
parent who received the PSOB Disability Benefit. Also considered are 
the applicant's age and the schools being attended. In addition, 
information to help BJA identify an individual is collected, such as 
contact numbers and email addresses.
     Public Safety Officer Appeal Request Application: BJA's 
Public Safety Officers' Benefits (PSOB) Office will use the Public 
Safety Officer Appeal Request Application information to confirm the 
eligibility of applicants who wish to appeal a previous Public Safety 
Officers' Death and Disability Benefit determination. Changes to the 
report form have been made in an effort to streamline the application 
process and eliminate requests for information that are either 
irrelevant or already being collected by other means.
    5. An estimate of the total number of respondents and the amount of 
time estimated for an average respondent to respond:
     Public Safety Officer Death Benefits Application: An 
estimate of the total number of respondents and the amount of time 
needed for an average respondent to respond is as follows: It is 
estimated that no more than 350 respondents will apply a year. Each 
application takes approximately 360 minutes to complete.
     Public Safety Officer Disability Benefits Application: An 
estimate of the total number of respondents and the amount of time 
needed for an average respondent to respond is as follows: It is 
estimated that no more than 100 respondents will apply a year. Each

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application takes approximately 300 minutes to complete.
     Public Safety Officer Educational Assistance Application: 
It is estimated that no more than 200 respondents will apply a year. 
Each application takes approximately 30 minutes to complete.
     Public Safety Officer Appeal Request Application: It is 
estimated that no more than 75 respondents will apply a year. Each 
application takes approximately 30 minutes to complete.
    6. An estimate of the total public burden (in hours) associated 
with the collection:
     Public Safety Officer Death Benefits Application: An 
estimate of the total public burden (in hours) associated with the 
collection: Total Annual Reporting Burden: 350 x 360 minutes per 
application = 126,000 minutes/by 60 minutes per hour = 2,100 hours.
     Public Safety Officer Disability Benefits Application: An 
estimate of the total public burden (in hours) associated with the 
collection: Total Annual Reporting Burden: 100 x 300 minutes per 
application = 30,000 minutes/by 60 minutes per hour = 500 hours.
     Public Safety Officer Educational Assistance Application: 
The estimated public burden associated with this collection is 100 
hours. It is estimated that respondents will take 30 minutes to 
complete an application. The burden hours for collecting respondent 
data sum to 100 hours (200 respondents x 0.5 hours = 100 hours).
     Public Safety Officer Appeal Request Application: An 
estimate of the total public burden (in hours) associated with the 
collection: Total Annual Reporting Burden: 75 x 30 minutes per 
application = 2,250 minutes/by 60 minutes per hour = 37.5 hours.
    If additional information is required contact: Hope D. Janke, 
Director, Public Safety Officers' Benefits Office, Bureau of Justice 
Assistance, Office of Justice Programs, U.S. Department of Justice, 810 
7th Street NW., Washington, DC 20531.

    Dated: June 15, 2017.
Melody Braswell,
Department Clearance Officer for PRA, U.S. Department of Justice.
[FR Doc. 2017-12778 Filed 6-19-17; 8:45 am]
 BILLING CODE 4410-18-P