The term of this
approval is limited because of the of the truncated nature of this
review resulting from OPM's expedited request.
Inventory as of this Action
Requested
Previously Approved
02/28/1996
02/28/1996
01/31/1996
1,000
0
0
250
0
250
0
0
0
This form is used by any Federal
employee or annuitant covered by the Federal Employees' Group Life
Insurance to designate how to distribute the proceeds of his/her
life insurance when the statutory order of precedence does not meet
his/her needs.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.