[Federal Register Volume 84, Number 157 (Wednesday, August 14, 2019)]
[Notices]
[Pages 40440-40441]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-17414]


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OFFICE OF PERSONNEL MANAGEMENT


Submission for Review: 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: 30-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 revised 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 September 13, 
2019.

ADDRESSES: Interested persons are invited to submit written comments on 
the proposed information collection to the Office of Information and 
Regulatory Affairs, Office of Management and Budget, 725 17th Street 
NW, Washington, DC 20503, Attention: Desk Officer for the Office of 
Personnel Management or sent via electronic mail to 
[email protected] or faxed to (202) 395-6974.

FOR FURTHER INFORMATION CONTACT: A copy of this information collection, 
with applicable supporting documentation, may be obtained by contacting 
the

[[Page 40441]]

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 or via telephone at (202) 606-4808.

SUPPLEMENTARY INFORMATION: As required by the Paperwork Reduction Act 
of 1995 OPM is soliciting comments for this collection. The information 
collection (OMB No. 3206-0160) was previously published in the Federal 
Register on November 28, 2018, at 83 FR 61176, allowing for a 60-day 
public comment period. No comments were received for this collection. 
The purpose of this notice is to allow an additional 30 days for public 
comments. 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 the 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 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 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.
Stephen Hickman,
Regulatory Affairs.
[FR Doc. 2019-17414 Filed 8-13-19; 8:45 am]
 BILLING CODE 6325-38-P