[Federal Register Volume 86, Number 227 (Tuesday, November 30, 2021)]
[Notices]
[Pages 67994-67995]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-26063]


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OFFICE OF PERSONNEL MANAGEMENT

[OMB Control No. 3206-0262]


Submission for Review: Report of Withholdings and Contributions 
for Health Benefits, Life Insurance and Retirement

AGENCY: Office of Personnel Management.

ACTION: 60-Day notice and request for comments.

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SUMMARY: The Office of Personnel Management (OPM) offers the general 
public and other Federal agencies the opportunity to comment on the 
renewal of a previously approved information collection. Standard Form 
2812 (Report of Withholdings and Contributions for Health Benefits, 
Life Insurance and Retirement), Standard Form 2812A (Report of 
Withholdings and Contributions for Health Benefits by Enrollment Code), 
and OPM Form 1523 (Supplemental Semiannual Headcount Report).

DATES: Comments are encouraged and will be accepted until January 31, 
2022.

ADDRESS: You may submit comments to the Federal Rulemaking Portal: 
http://www.regulations.gov. Follow the instructions for submitting 
comments. All submissions received must include the agency name and 
docket number or RIN for this document. The general policy for comments 
and other submissions from members of the public is to make these 
submissions available for public viewing at http://www.regulations.gov 
as they are received without change, including any personal identifiers 
or contact information.

FOR FURTHER INFORMATION CONTACT: A copy of this ICR, with applicable 
supporting documentation, may be obtained by contacting the U.S. Office 
of Personnel Management, Chief Financial Office, Financial Services, 
1900 E Street NW, Room 5478, Washington, DC 20415, Attention: Yadira 
Vega, or sent by email to [email protected].

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. 3206-0176).
    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 2812 (Report of Withholdings and Contributions for 
Health Benefits, Life Insurance and Retirement), Standard Form 2812A 
(Report of Withholdings and Contributions for Health Benefits by 
Enrollment Code), and OPM Form 1523 (Supplemental Semiannual Headcount 
Report) are used to collect information from payroll providers 
regarding withholdings, in dollar amounts, for health and life 
insurance and retirement each pay period (SF 2812 and 2812A) and to 
collect information twice each year regarding the number of employees 
enrolled in the three benefit programs (OPM Form 1523).

Analysis

    Agency: Trust Fund Management of the Office of the Chief Financial 
Officer, Office of Personnel Management.
    Title: (1) Report of Withholdings and Contributions for Health 
Benefits, Life Insurance and Retirement (Standard Form 2812); (2) 
Report of Withholdings and Contributions for Health Benefits by 
Enrollment Code (Standard Form 2812-A); (3) Supplemental Semiannual 
Headcount Report (OPM Form 1523).
    OMB Number: 3206-0262.

[[Page 67995]]

    Frequency: Semiannually for OPM Form 1523 and once-per-pay-period 
for Standard Form 2812 and Standard Form 2812-A.
    Affected Public: Public Entities with Federal Employees and 
Retirees.
    Number of Respondents: 5,200.
    Estimated Time per Respondent: 30 Minutes.
    Total Burden Hours: 2700.

Office of Personnel Management.
Alexys Stanley,
Regulatory Affairs Analyst.
[FR Doc. 2021-26063 Filed 11-29-21; 8:45 am]
BILLING CODE 6325-23-P