30-day FRN

30-day FRN.pdf

RI 30-10, Disabled Dependent Questionnaire

30-day FRN

OMB: 3206-0179

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Federal Register / Vol. 76, No. 120 / Wednesday, June 22, 2011 / Notices

OFFICE OF PERSONNEL
MANAGEMENT
Submission for Review: Disabled
Dependent Questionnaire, RI 30–10
U.S. Office of Personnel
Management.
ACTION: 30-Day Notice and request for
comments.
AGENCY:

The Retirement Services,
Office of Personnel Management (OPM)
offers the general public and other
Federal agencies the opportunity to
comment on an existing information
collection request (ICR) 3206–0179,
Disabled Dependent Questionnaire. As
required by the Paperwork Reduction
Act of 1995 (Pub. L. 104–13, 44 U.S.C.
chapter 35) as amended by the ClingerCohen Act (Pub. L. 104–106), OPM is
soliciting comments for this collection.
The information collection was
previously published in the Federal
Register on April 5, 2011 at Volume 76
FR 18812 allowing for a 60-day public
comment period. No comments were
received for this information collection.
The purpose of this notice is to allow an
additional 30 days for public comments.
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.
DATES: Comments are encouraged and
will be accepted until July 22, 2011.
This process is conducted in accordance
with 5 CFR 1320.1.
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

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SUMMARY:

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to [email protected] 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 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
[email protected] or faxed
to (202) 395–6974.
SUPPLEMENTARY INFORMATION: RI 30–10,
Disabled Dependent Questionnaire, is
used to collect sufficient information
about the medical condition and earning
capacity for the Office of Personnel
Management to be able to determine
whether a disabled adult child is
eligible for health benefits coverage and/
or survivor annuity payments under the
Civil Service Retirement System or the
Federal Employees Retirement System.
Analysis
Agency: Retirement Operations,
Retirement Services, Office of Personnel
Management.
Title: Disabled Dependent
Questionnaire.
OMB Number: 3206–0179.
Frequency: On occasion.
Affected Public: Individuals or
Households.
Number of Respondents: 2,500.
Estimated Time per Respondent: 1
hour.
Total Burden Hours: 2,500.
U.S. Office of Personnel Management.
John Berry,
Director.
[FR Doc. 2011–15600 Filed 6–21–11; 8:45 am]
BILLING CODE 6325–38–P

OFFICE OF PERSONNEL
MANAGEMENT
Submission for Review: Standard
Form 2809, Health Benefits Election
Form
U.S. Office of Personnel
Management.
ACTION: 30-Day Notice and request for
comments.
AGENCY:

The Retirement Services,
Office of Personnel Management (OPM)
offers the general public and other
Federal agencies the opportunity to
comment on a revised information
collection request (ICR) 3206–0160,
Health Benefits Election Form. As
required by the Paperwork Reduction
Act of 1995 (Pub. L. 104–13, 44 U.S.C.
chapter 35) as amended by the Clinger-

SUMMARY:

PO 00000

Frm 00071

Fmt 4703

Sfmt 4703

Cohen Act (Pub. L. 104–106), OPM is
soliciting comments for this collection.
The information collection was
previously published in the Federal
Register on July 9, 2010 at Volume 75
FR 39587 allowing for a 60-day public
comment period. We received
comments from one organization. Based
on the comments, several changes were
made to the form including changes that
make it consistent with the Affordable
Care Act (Pub. L. 111–48). The purpose
of this notice is to allow an additional
30 days for public comments. 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.
DATES: Comments are encouraged and
will be accepted until July 22, 2011.
This process is conducted in accordance
with 5 CFR 1320.1.
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 [email protected] 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 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
[email protected] or faxed
to (202) 395–6974.
SUPPLEMENTARY INFORMATION: The
Health Benefits Election Form is used

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