Claim for Unpaid Compensation of Deceased Civilian Employee

Claim for Unpaid Compensation of Deceased Civilian Employee

OMB: 3206-0234

IC ID: 33749

Information Collection (IC) Details

View Information Collection (IC)

Claim for Unpaid Compensation of Deceased Civilian Employee
 
No Modified
 
Required to Obtain or Retain Benefits
 

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

General Government Executive Functions

OPM/GOVT-1, General Personnel Records  71 FR 35342

3,000 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 3,000 0 0 0 0 3,000
Annual IC Time Burden (Hours) 750 0 0 0 0 750
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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