SF 3112 60_Day FRN Published

SF3112_60DayFRN_Published_2017_04_13.pdf

CSRS/FERS Documentation in Support of Disability Retirement Application

SF 3112 60_Day FRN Published

OMB: 3206-0228

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Federal Register / Vol. 82, No. 70 / Thursday, April 13, 2017 / Notices
OFFICE OF PERSONNEL
MANAGEMENT
Submission for Review: CSRS/FERS
Documentation in Support of Disability
Retirement Application, SF 3112
Office of Personnel
Management.
ACTION: 60-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 extension without
change, of a currently approved
information collection request (ICR),
CSRS/FERS Documentation in Support
of Disability Retirement Application, SF
3112.
DATES: Comments are encouraged and
will be accepted until June 12, 2017.
ADDRESSES: Interested persons are
invited to submit written comments on
the proposed information collection to
Retirement Services, U.S. Office of
Personnel Management, 1900 E Street
NW., Washington, DC 20415, Attention:
Alberta Butler, Room 2347–E or sent via
electronic mail to Alberta.Butler@
opm.gov.
FOR FURTHER INFORMATION CONTACT: A
copy of this ICR 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
[email protected] or faxed to
(202) 606–0910.
SUPPLEMENTARY INFORMATION: 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
(OMB No. 3206–0228).
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

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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.
Standard Form 3112, CSRS/FERS
Documentation in Support of Disability
Retirement Application collects
information from applicants for
disability retirement so that OPM can
determine whether to approve a
disability retirement under title 5,
U.S.C. Sections 8337 and 8455. The
applicant will only complete Standard
Forms 3112A and 3112C. Standard
Forms 3112B, 3112D and 3112E will be
completed by the immediate supervisor
and the employing agency of the
applicant.
Analysis
Agency: Retirement Operations,
Retirement Services, Office of Personnel
Management.
Title: CSRS/FERS Documentation in
Support of Disability Retirement
Application.
OMB Number: 3206–0228.
Frequency: On occasion.
Affected Public: Individuals or
Households.
Number of Respondents: SF 3112A =
1,350; SF 3112C = 12,100.
Estimated Time per Respondent: SF
3112A = 30 minutes; SF 3112C = 60
minutes.
Total Burden Hours: 12,775.
U.S. Office of Personnel Management.
Kathleen M. McGettigan,
Acting Director.
[FR Doc. 2017–07460 Filed 4–12–17; 8:45 am]
BILLING CODE 6325–38–P

OFFICE OF PERSONNEL
MANAGEMENT
Submission for Review: Notification of
Application for Refund of Retirement
Deductions, SF 3106 and Current/
Former Spouse(s) Notification of
Application for Refund of Retirement
Deductions Under FERS, SF 3106A
Office of Personnel
Management.
ACTION: 60-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 extension, without
change, of a currently approved
information collection (ICR),
Notification of Application for Refund

SUMMARY:

PO 00000

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17893

of Retirement Deductions, SF 3106 and
SF 3106A.
DATES: Comments are encouraged and
will be accepted until June 12, 2017.
ADDRESSES: Interested persons are
invited to submit written comments on
the proposed information collection to
Retirement Services, U.S. Office of
Personnel Management, 1900 E Street
NW., Washington, DC 20415, Attention:
Alberta Butler, Room 2347–E, or sent
via electronic mail to Alberta.Butler@
opm.gov.
FOR FURTHER INFORMATION CONTACT: A
copy of this ICR 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
[email protected] or faxed to
(202) 606–0910.
SUPPLEMENTARY INFORMATION: 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
(OMB No. 3206–0170). 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.
Standard Form 3106, Application for
Refund of Retirement Deductions under
FERS is used by former Federal
employees under FERS, to apply for a
refund of retirement deductions
withheld during Federal employment,
plus any interest provided by law.
Standard Form 3106A, Current/Former
Spouse(s) Notification of Application
for Refund of Retirement Deductions
Under FERS, is used by refund
applicants to notify their current/former
spouse(s) that they are applying for a

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