Notice2021-26063
Submission for Review: Report of Withholdings and Contributions for Health Benefits, Life Insurance and Retirement
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
November 30, 2021
Issuing agencies
Personnel Management Office
Abstract
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).
Full Text
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<title>Federal Register, Volume 86 Issue 227 (Tuesday, November 30, 2021)</title>
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[Federal Register Volume 86, Number 227 (Tuesday, November 30, 2021)]
[Notices]
[Pages 67994-67995]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[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:
<a href="http://www.regulations.gov">http://www.regulations.gov</a>. 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 <a href="http://www.regulations.gov">http://www.regulations.gov</a>
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 <a href="/cdn-cgi/l/email-protection#8ff6eeebe6fdeea1f9eae8eecfe0ffe2a1e8e0f9"><span class="__cf_email__" data-cfemail="6d140c09041f0c431b080a0c2d021d00430a021b">[email protected]</span></a>.
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
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