[Federal Register Volume 82, Number 223 (Tuesday, November 21, 2017)]
[Notices]
[Pages 55422-55423]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-25033]


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OFFICE OF PERSONNEL MANAGEMENT


Information Collection: Standard Form 2800--Application for Death 
Benefits Under the Civil Service Retirement System (CSRS); Standard 
Form 2800A--Documentation and Elections in Support of Application for 
Death Benefits When Deceased Was an Employee at the Time of Death 
(CSRS)

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 a revision of a currently approved information collection, 
Standard Form 2800--Application for Death Benefits (CSRS) and Standard 
Form 2800A--Documentation and Elections in Support of Application for 
Death Benefits When Deceased Was an Employee at the Time of Death 
(CSRS).

DATES: Comments are encouraged and will be accepted until January 22, 
2018.

ADDRESSES: Interested persons are invited to submit written comments on 
the proposed information collection to Retirement Services, Office of 
Personnel

[[Page 55423]]

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 information collection 
instrument 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], via telephone to (202) 606-4808, 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) OPM is soliciting 
comments for this collection (OMB No. 3206-0156). We are 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 2800 is needed to collect information so that OPM can 
pay death benefits to the survivors of Federal employees and 
annuitants. Standard Form 2800A is needed for deaths in service so that 
survivors can make the needed elections regarding military service.

Analysis

    Agency: Retirement Operations, Retirement Services, Office of 
Personnel Management.
    Title: Application for Death Benefits under the Civil Service 
Retirement System (SF 2800); and Documentation and Elections in Support 
of Application for Death Benefits When Deceased Was an Employee at the 
Time of Death (SF 2800A).
    OMB Number: 3206-0156.
    Frequency: On occasion.
    Affected Public: Individuals or Households.
    Number of Respondents: SF 2800 = 40,000; SF 2800A = 400.
    Estimated Time per Respondent: SF 2800 = 45 minutes; SF 2800A = 45 
minutes.
    Total Burden Hours: 30,300 (SF 2800 = 30,000 hours; SF 2800A = 300 
hours).

U.S. Office of Personnel Management.
Kathleen M. McGettigan,
Acting Director.
[FR Doc. 2017-25033 Filed 11-20-17; 8:45 am]
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