Flags Request Form

ICR 201403-3206-001

OMB: 3206-0264

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
New
Supporting Statement A
2014-03-13
Supplementary Document
2014-03-12
Supplementary Document
2014-03-12
IC Document Collections
IC ID
Document
Title
Status
210682 New
ICR Details
3206-0264 201403-3206-001
Historical Inactive
OPM
Flags Request Form
New collection (Request for a new OMB Control Number)   Yes
Regular
Comment filed on proposed rule and continue 06/13/2014
Retrieve Notice of Action (NOA) 03/13/2014
OPM will need to submit the ICR when the final rule is submitted for OMB approval.
  Inventory as of this Action Requested Previously Approved
36 Months From Approved
0 0 0
0 0 0
0 0 0

The Civilian Service Recognition Act of 2011 (Public Law 112-73) authorizes an agency to furnish a United States flag on behalf of an employee who dies of injuries incurred in connection with his/her employment under specified circumstances. OPM Form OPM 1825, Application for U.S. Flag Recognition Benefit for Deceased Federal Civilian Employees, may be used to determine deceased Federal employee and beneficiary (e.g., family member of a deceased employee) eligibility for issuance of a U.S. flag. The form may be used by any Federal entity and use of the form is at agency discretion.

PL: Pub.L. 112 - 73 2 Name of Law: Civilian Service Recognition Act of 2011
  
None

3206-AM58 Proposed rulemaking 78 FR 36311 06/17/2013

  78 FR 36311 06/17/2013
79 FR 13687 03/11/2014
No

1
IC Title Form No. Form Name
OPM 1825 OPM 1825 APPLICATION FOR U.S. FLAG RECOGNITION BENEFIT FOR DECEASED FEDERAL CIVILIAN EMPLOYEES

Yes
Changing Regulations
No
OPM issued 3206-AM58 providing guidance to agencies to authorize agencies to furnish a United States flag on behalf of an employee who dies of injuries incurred in connection with his/her employment under specified circumstances. The burden increase is due to the creation of this program.

$0
No
No
No
No
No
Uncollected
Steve Pierce 202 606-2560 [email protected]

  Yes
  Agencies can change addresses if necessary
Agency/Sub Agency RCF ID RCF Title RCF Status IC Title

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/13/2014


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