Claim for Unpaid Compensation of Deceased Civilian Employee

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0234 can be found here:

Documents and Forms

Document Name Document Type
Form SF-1153 Claim for Unpaid Compensation of Deceased Civilian Employee Form
SF-1153 Claim for Unpaid Compensation of Deceased Civilian Emplo SF1153_rev_32060234_2008 10 31.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Claim for Unpaid Compensation of Deceased Civilian Employee	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SF-1153	Claim for Unpaid Compensation of Deceased Civilian Employee	SF1153_rev_32060234_2008 10 31.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title: OPM/GOVT-1, General Personnel Records	FR Citation: 71 FR 35342

Number of Respondents: 3,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	3,000	3,000
Annual IC Time Burden (Hours)	750	750
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.