60 Day FRN

Published 60 Day FRN SF 3112.pdf

SF 3112, CSRS/FERS Documentation in Support of Disability Retirement Application

60 Day FRN

OMB: 3206-0228

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61852

Federal Register /Vol. 80, No. 198 /Wednesday, October 14, 2015 /Notices

Analysis, Office of Personnel
Management, 1900 E. Street NW,,
Washington, DC 20415, Attention:
Cristin Kane or sent via electronic mailto [email protected].
FOR FURTHER INFORMATION CONTACT: A

copy of this !CR, with applicable
supporting documentation, may be
obtained by contacting the Office of
Planning and Policy Analysis, Office of
Personnel Management, 1900 E. Street,
NW., Washington, DC 20415, Attention:
Cristin Kane or sent via electronic mail
to [email protected].
SUPPLEMENTARY INFORMATION: 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.
Overview: In the past, the Office of
Personnel Management contracted with
a vendor to administer the Consumer
Assessment of Healthcare Providers and
Systems (CAHPS) survey to a sample of
both active Federal employees and
retirees. CAHPS surveys ask consumers
and patients to report on and evaluate
their experiences with their health care.
Since the CAHPS survey instrument
is designed for the active population, it
will no longer be administered to
retirees. However, annuitant feedback
about their health plan experience is an
essential part of successful benefit
administration for the Federal
Employees Health Benefits (FEHB)
Program. As a result, the Federal
Annuitant Benefits Survey is designed
to assess annuitant satisfaction with
their health plan's benefits and services.
Analysis:
Agency: Planning and Policy
Analysis, Office of Personnel
Management
Title: Federal Annuitant Benefits
Survey

OMB Number: 3260-NEW
Frequency: Annually
Affected Public: Federal Retirees
Number of Respondents: Unknown at
this time, as survey will be administered
via "open participation." No firm
sample size exists; however, target
completion is between 200 and 1,000.
surveys.
Estimated Time Per Respondent: 20
minutes
Total Burden Hours: Dependent on
final participation numbers.

20415, Attention: Cyrus S. Benson, or
sent via electronic mail to
[email protected] or faxed to
(202) 606-0910.
SUPPLEMENTARY INFORMATION:

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;
U.S. Office of Personnel Management.
2. Evaluate the accuracy of the
Beth F, Cobert,
agency's estimate of the burden of the
Acting Director.
proposed collection of information,
[FR Doc. 2015-26098 Filed 10-13-15; 8:45 am]
including the validity of the
BILLING CODE 6325-63-P
methodology and assumptions _used;
3. Enhance the quality, utility, and
clarity of the information to be
OFFICE OF PERSONNEL
collected; and
MANAGEMENT
4. Minimize the burden of the
collection of information on those who
Submission for Review: CSRS/FERS
Documentation in Support of Disability are to respond, including through the
Retirement Application, SF 3112, 3206- use of appropriate automated,
electronic, mechanical, or other
0228
technological collection techniques or
AGENCY: U.S. Office of Personnel
other forms of information technology,
Management.
e.g., permitting electronic submissions
of responses.
ACTION: 60-day notice and request for
SF 3112, CSRS/FERS Documentation
comments.
in Support of Disability Retirement
SUMMARY: The Retirement Services,
Application collects information from
Office of Personnel Management (OPM) applicants for disability retirement so
offers the general public and other
that OPM can determine whether to
Federal agencies the opportunity to
approve a disability retirement under
comment on an extension without
title 5, U.S.C. Sections 8337 and 8455.
change, of a currently approved
The applicant will only complete
information collection request (ICR)
Standard Forms 3112A and 3112C.
3206-0228, CSRS/FERS Documentation Standard Forms 3112B, 3112D and
in Support of Disability Retirement
3112E will be completed by the
Application. As required by the
immediate supervisor and the
Paperwork Reduction Act of 1995 (Pub.
employing agency of the applicant.
Law 104-13, 44 U.S.C. chapter 35) as
Analysis
amended by the Clinger-Cohen Act
(Pub. L. 104-106), OPM is soliciting
Agency: Retirement Operations,
comments for this collection.
Retirement Services, Office of Personnel
OATES: Comments are encouraged and
Management.
will be accepted until December 14,
Title: CSRSIFERS Documentation in
2015. This process is conducted in
Support of Disability Retirement
accordance with 5 CFR 1320.1.
Application.
ADDRESSES: Interested persons are
OMB Number: 3206-0228.
invited to submit written comments on
Frequency: On occasion.
the proposed information collection to
Affected Public: Individuals or
Retirement Services, U.S. Office of
Households.
Personnel Management, 1900 E Street,
Number of Respondents: SF 3112A =
NW., Washington, DC 20415-3500,
1,350; SF 3112C = 12,100.
Attention: Alberta Butler, Room 2349 or
Estimated Time per Respondent: SF
sent via electronic mail to
3112A = 30 minutes; SF 3112C = 60
[email protected].
minutes.
FOR FURTHER INFORMATION CONTACT: A
Total Burden Hours: 12,775.
copy of this !CR with applicable
U.S.
Office of Personnel Management.
supporting documentation, may be
Beth F. Cobert,
obtained by contacting the Retirement
Acting Director
Services Publications Team, Office of
[FR Doc. 2015-26096 Filed 10-13-15; 8:45 am]
Personnel Management, 1900 E Street
NW., Room 3316-AC, Washington, DC
BILLING CODE 6325-36-P


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