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Submission for Review: Standard Form 1153: Claim for Unpaid Compensation of Deceased Civilian Employee

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U.S. Office of Personnel Management.


30-Day notice and request for comments.


Merit System Audit and Compliance, Office of Personnel Management (OPM) offers the general public and other federal agencies the opportunity to comment on an existing information collection request (ICR) 3206-0234, Standard Form 1153, Claim for Unpaid Compensation of Deceased Civilian Employee. 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 information collection was previously published in the Federal Register on September 2, 2011 at Volume 76 FR 54809 to allow for a 60-day public comment period. No comments were received for this information collection. The purpose of this notice is to allow an additional 30 days for public comment. 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.


Comments are encouraged and will be accepted until January 9, 2012. This process is conducted in accordance with 5 CFR 1320.1.


Interested persons are invited to submit written comments on the proposed information collection to Classification and Pay Claims Program Manager, U.S. Office of Personnel Management, Merit System Audit and Compliance, Room 6484, 1900 E Street NW., Washington, DC 20415, or sent via electronic mail to

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A copy of this ICR, with applicable supporting documentation, may be obtained by contacting the Office of Information and Regulatory Affairs, Office of Management and Budget, 725 17th Street NW., Washington, DC 20503, Attention: Desk Officer for the Office of Personnel Management or sent via electronic mail to or faxed to (202) 395-6974.

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Standard Form 1153, Claim for Unpaid Compensation of 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 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 ICR responds to suggestions received from users. Part B, 1. Is changed to clarify that a beneficiary may include a legal entity or estate as provided for in 5 CFR 178.203© and to provide instructions if more room is needed to list designated beneficiaries.


Agency: Merit System Audit and Compliance, Office of Personnel Management.

Title: Standard Form 1153, Claim for Unpaid Compensation of Deceased Civilian Employee.

OMB Number: 3206-0234.

Frequency: Annually.

Affected Public: Individuals.

Number of Respondents: 3,000.

Estimated Time per Respondent: 15 minutes.Start Printed Page 76773

Total Burden Hours: 750 hours.

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John Berry,

Director, U.S. Office of Personnel Management.

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[FR Doc. 2011-31469 Filed 12-7-11; 8:45 am]