This request--as
amended by the changes provided to Joe Lackey of OMB on
12-19-00--is approved.
Inventory as of this Action
Requested
Previously Approved
12/31/2003
12/31/2003
41,000
0
0
10,250
0
0
0
0
0
This is used by any Federal employee
or retiree covered by the Federal Employees' Group Life Insurance
to designate how 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.