[Federal Register Volume 83, Number 229 (Wednesday, November 28, 2018)]
[Notices]
[Pages 61176-61177]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-25901]


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OFFICE OF PERSONNEL MANAGEMENT


Information Collection: Application for Death Benefits Under the 
Federal Employees Retirement System (SF 3104); and Documentation & 
Elections in Support of Application for Death Benefits When Deceased 
Was an Employee at the Time of Death (SF 3104B)

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 the revision of a currently approved information collection, 
Application for Death Benefits under the Federal Employees Retirement 
System (SF 3104); and Documentation & Elections in Support of 
Application for Death Benefits When Deceased Was an Employee at the 
Time of Death (SF 3104B).

DATES: Comments are encouraged and will be accepted until January 28, 
2019.

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

[[Page 61177]]

3316-L, Washington, DC 20415, Attention: Cyrus S. Benson, or sent via 
electronic mail to [email protected] or faxed to (202) 606-0910 or 
via telephone at (202) 606-4808.

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. 3206-0172). 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.
    SF 3104, Application for Death Benefits under the Federal Employees 
Retirement System, is needed to collect information so that OPM can pay 
death benefits to the survivor of Federal employees and annuitants. SF 
3104B, Documentation in Support of Application for Death Benefits When 
Deceased Was an Employee at the Time of Death, is needed for deaths in 
service so that survivors can make the needed elections regarding 
health benefits, military service and payment of the death benefit.

Analysis

    Agency: Retirement Operations, Retirement Services, Office of 
Personnel Management.
    Title: Application for Death Benefits under the Federal Employees 
Retirement System and Documentation & Elections in Support of 
Application for Death Benefits When Deceased Was an Employee at the 
Time of Death.
    OMB Number: 3206-0172.
    Frequency: On occasion.
    Affected Public: Individuals or households.
    Number of Respondents: SF 3104 = 12,734 and SF 3104B = 4,017.
    Estimated Time per Respondent: 60 minutes.
    Total Burden Hours: 16,751 hours.

Office of Personnel Management.
Alexys Stanley,
Regulatory Affairs Analyst.
[FR Doc. 2018-25901 Filed 11-27-18; 8:45 am]
 BILLING CODE 6325-38-P