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OPM ID: [OPM 1153]

NOTICE: NOTICES

DOCUMENT ACTION: Notice.

SUBJECT CATEGORY: Proposed Collection: Comment Request for Review of an Expiring Information Collection: Claim for Unpaid Compensation of Deceased Civilian Employee

DATES: Comments on this proposal should be received within 60 calendar days from the date of this publication.

DOCUMENT SUMMARY: In accordance with the Paperwork Reduction Act of 1995 (Pub. L. 10413, May 22, 1995), this notice announces that the U.S. Office of Personnel Management (OPM) intends to submit to the Office of Management and Budget (OMB) a request for review
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of an expiring information collection. Standard Form 1153, Claim for Unpaid Compensation for Deceased Civilian Employee, is used to collect information from individuals who have been designated as beneficiaries of the unpaid compensation of a deceased Federal employee or who believe that their relationship to the deceased entitles them to receive the unpaid compensation of the deceased Federal employee. OPM needs this information in order to adjudicate the claim and properly assign a deceased Federal employee's unpaid compensation to the appropriate individual(s).

The proposed revision to the expiring information collection responds to suggestions received from users. Part B, 1. is changed to clarify a beneficiary may include a legal entity or estate as provided for in 5 CFR 178.203(c) and to provide instructions if more room is needed to list designated beneficiaries.

Approximately 3,000 SF 1153 forms are submitted annually. It takes approximately 15 minutes to complete the form. The annual estimated burden is 750 hours.

Comments are particularly invited on:
Whether this collection of information is necessary for the proper performance of functions of OPM, and whether it will have practical utility;
Whether our estimate of the public burden of this collection is accurate, and based on valid assumptions and methodology; and Ways in which we can minimize the burden of the collection of information on those who are to respond, through use of the appropriate technological collection techniques or other forms of information technology.

For copies of this proposal, contact Mary Beth SmithToomey on (202) 6068358, FAX (202) 4183251, or email to mbtoomey@opm.gov. Please include a mailing address with your request.

SUMMARY: Agency Information Collection Activities; Proposals, Submissions, and Approvals,