[Federal Register: December 16, 1996 (Volume 61, Number 242)]
[Notices]               
[Page 66064]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr16de96-103]

-----------------------------------------------------------------------


OFFICE OF PERSONNEL MANAGEMENT
 
Submission for OMB Review; Comment Request for Review of a 
Revised Information Collection: Standard Form 3112

AGENCY: Office of Personnel Management.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: In accordance with the Paperwork Reduction Act of 1995 (Public 
Law 104-13, May 22, 1995), this notice announces that the Office of 
Personnel Management has submitted to the Office of Management and 
Budget a request for review of a revised information collection. 
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. 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.
    Approximately 12,100 Standard Form 3112, SF 3112A and SF 3112C will 
be completed annually. The SF 3112A requires approximately 30 minutes 
to complete and the SF 3112C requires approximately 60 minutes to 
complete. The annual burden is 12,775 hours.
    For copies of this proposal, contact Jim Farron on (202) 418-3208, 
or E-mail to jmfarron@mail.opm.gov

DATES: Comments on this proposal should be received on or before 
January 15, 1997.

ADDRESS: Send or deliver comments to--

Lorraine E. Dettman, Chief, Operations Support Division, Retirement and 
Insurance Service, U.S. Office of Personnel Management, 1900 E Street, 
NW, Room 3349 Washington, DC 20415

      and

Joseph Lackey, OPM Desk Officer, Office of Information & Regulatory 
Affairs, Office of Management & Budget, New Executive Office Building, 
NW, Room 10235, Washington, DC 20503.

FOR INFORMATION REGARDING ADMINISTRATIVE COORDINATION--CONTACT: Mary 
Beth Smith-Toomey, Management Services Division, (202) 606-0623.

U.S. Office of Personnel Management.
Lorraine A. Green,
Deputy Director.
[FR Doc. 96-31743 Filed 12-13-96; 8:45 am]
BILLING CODE 6325-01-M