[Federal Register Volume 77, Number 213 (Friday, November 2, 2012)]
[Page 66189]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-26849]



Submission for Review: 3206-0228, CSRS/FERS Documentation in 
Support of Disability Retirement Application, SF 3112

AGENCY: U.S. Office of Personnel Management.

ACTION: 60-Day Notice and request for comments.


SUMMARY: 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) 3206-0228, CSRS/FERS Documentation 
in Support of Disability Retirement Application. As required by the 
Paperwork Reduction Act of 1995 (Pub. L. 104-13, 44 U.S.C. chapter 35) 
as amended by the Clinger-Cohen Act (Pub. L. 104-106), OPM is 
soliciting comments for this collection. 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 January 2, 
2013. 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 U.S. Office of Personnel 
Management, Retirement Services, Union Square 370, 1900 E Street NW., 
Washington, DC 20415-3500, Attention: Alberta Butler or sent via 
electronic mail to [email protected].

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 4332, Washington, DC 20415, Attention: Cyrus S. 
Benson, or sent via electronic mail to [email protected] or faxed to 
(202) 606-0910.

SUPPLEMENTARY INFORMATION: SF 3112 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 


    Agency: Retirement Operations, Retirement Services, Office of 
Personnel Management.
    Title: CSRS/FERS Documentation in Support of Disability Retirement 
    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 
    Total Burden Hours: 12,775.

U.S. Office of Personnel Management.
John Berry,
[FR Doc. 2012-26849 Filed 11-1-12; 8:45 am]