Notice2021-13897

Submission for Review: 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)

Primary source

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Published
June 30, 2021

Issuing agencies

Personnel Management Office

Abstract

Retirement Services, Office of Personnel Management (OPM) offers the general public and other federal agencies the opportunity to comment on an expiring information collection request (ICR) with minor edits, Application for Death Benefits Under the Civil Service Retirement System (CSRS), SF 2800 and Documentation and Elections in Support of Application for Death Benefits When Deceased Was an Employee at the Time of Death (CSRS), SF 2800A.

Full Text

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<title>Federal Register, Volume 86 Issue 123 (Wednesday, June 30, 2021)</title>
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[Federal Register Volume 86, Number 123 (Wednesday, June 30, 2021)]
[Notices]
[Pages 34797-34798]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2021-13897]


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OFFICE OF PERSONNEL MANAGEMENT


Submission for Review: 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: 30-Day notice and request for comments.

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SUMMARY: Retirement Services, Office of Personnel Management (OPM) 
offers the general public and other federal agencies the opportunity to 
comment on an expiring information collection request (ICR) with minor 
edits, Application for Death Benefits Under the Civil Service 
Retirement System (CSRS), SF 2800 and Documentation and Elections in 
Support of Application for Death Benefits When Deceased Was an Employee 
at the Time of Death (CSRS), SF 2800A.

DATES: Comments are encouraged and will be accepted until July 30, 
2021.

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: 
<a href="/cdn-cgi/l/email-protection#8fe0e6fdeed0fcfaede2e6fcfce6e0e1cfe0e2eda1eae0ffa1e8e0f9"><span class="__cf_email__" data-cfemail="3f50564d5e604c4a5d52564c4c5650517f50525d115a504f11585049">[email&#160;protected]</span></a> or faxed to (202) 395-6974.

FOR FURTHER INFORMATION CONTACT: A copy of this ICR 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 <a href="/cdn-cgi/l/email-protection#32714b4047411c70575c415d5c725d425f1c555d44"><span class="__cf_email__" data-cfemail="b3f0cac1c6c09df1d6ddc0dcddf3dcc3de9dd4dcc5">[email&#160;protected]</span></a> or faxed to 
(202) 606-0910 or via telephone at (202) 606-4808.

[[Page 34798]]


SUPPLEMENTARY INFORMATION: As required by the Paperwork Reduction Act 
of 1995 OPM is soliciting comments for this collection. The information 
collection (OMB No. 3206-0156) was previously published in the Federal 
Register on February 10, 2021 at 86 FR 8930, allowing for a 60-day 
public comment period. Two comments were received, but they had no 
relation to this information collection request.
    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 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 3106 = 45 minutes; SF 3106A = 45 
minutes.
    Total Burden Hours: 30,300 hours (SF 2800 = 30,000; SF 2800A = 
300).

Office of Personnel Management.
Kellie Cosgrove Riley,
Director, Office of Privacy and Information Management.
[FR Doc. 2021-13897 Filed 6-29-21; 8:45 am]
BILLING CODE 6325-38-P


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Indexed from Federal Register on June 30, 2021.

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