Information Collection

Claim for Unpaid Compensation of Deceased Civilian Employee

IC 33749 under ICR 201109-3206-001 · OMB 3206-0234.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Claim for Unpaid Compensation of Deceased Civilian Employee

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of 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 %

table that charts list of burden
	Approved	Change Due to Potential Violation of the PRA
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

table that charts IC Documents
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.