Notice2022-03580
Information Collection: Application for Death Benefits Under the Federal Employees' Retirement System (SF 3104); and Documentation and Elections in Support of Application for Death Benefits When Deceased Was an Employee at the Time of Death (SF 3104B)
Primary source
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Published
February 18, 2022
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 (ICR), Application for Death Benefits under the Federal Employees' Retirement System (SF 3104); and Documentation and Elections in Support of Application for Death Benefits When Deceased Was an Employee at the Time of Death (SF 3104B).
Full Text
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<title>Federal Register, Volume 87 Issue 34 (Friday, February 18, 2022)</title>
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[Federal Register Volume 87, Number 34 (Friday, February 18, 2022)]
[Notices]
[Pages 9397-9398]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2022-03580]
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OFFICE OF PERSONNEL MANAGEMENT
Information Collection: Application for Death Benefits Under the
Federal Employees' Retirement System (SF 3104); and Documentation and
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: Retirement Services, Office of Personnel Management (OPM)
offers the general public and other federal agencies the opportunity to
comment on an expiring information collection (ICR), Application for
Death Benefits under the Federal Employees' Retirement System (SF
3104); and Documentation and 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 April 19,
2022.
ADDRESSES: You may submit comments, identified by docket number and/or
Regulatory Information Number (RIN) and title, by the following method:
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 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 3316-L, Washington, DC
20415, Attention: Cyrus S. Benson, or sent via electronic mail to
<a href="/cdn-cgi/l/email-protection#de9da7acabadf09cbbb0adb1b09eb1aeb3f0b9b1a8"><span class="__cf_email__" data-cfemail="b3f0cac1c6c09df1d6ddc0dcddf3dcc3de9dd4dcc5">[email protected]</span></a> or via telephone at (202) 606-4808.
SUPPLEMENTARY INFORMATION: As required by the Paperwork Reduction Act
of 1995 (Pub. L. 104-13, 109 Stat. 106 (May 22, 1995), codified at 44
U.S.C. chapter 35), OPM is soliciting comments for this collection (OMB
No. 3206-0172). We are particularly interested in comments that do the
following:
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).
The form 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 survivors of Federal employees and
annuitants. The form 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 may make elections
regarding health benefits, payment of post-1956
[[Page 9398]]
military service deposits, and payment methods for death benefits.
Analysis
Agency: Retirement Operations, Retirement Services, Office of
Personnel Management
Title: Application for Death Benefits under the Federal Employees'
Retirement System and Documentation and 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.
Kellie Cosgrove Riley,
Director, Office of Privacy and Information Management.
[FR Doc. 2022-03580 Filed 2-17-22; 8:45 am]
BILLING CODE 6325-38-P
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</html>Indexed from Federal Register on February 18, 2022.
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