Application to Make Deposit or Redeposit (CSRS)/Application to Make Service Credit Payment for Civilian Service (FERS)

ICR 201712-3206-017

OMB: 3206-0134

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supplementary Document
2017-12-29
Supplementary Document
2017-12-29
Supplementary Document
2017-12-29
Supplementary Document
2017-12-29
Supplementary Document
2017-12-29
Supporting Statement A
2018-01-10
ICR Details
3206-0134 201712-3206-017
Active 201604-3206-004
OPM SF 2803/SF 3108
Application to Make Deposit or Redeposit (CSRS)/Application to Make Service Credit Payment for Civilian Service (FERS)
Revision of a currently approved collection   No
Regular
Approved with change 01/30/2018
Retrieve Notice of Action (NOA) 12/29/2017
This collection is approved based on the revised materials provided by the Agency.
  Inventory as of this Action Requested Previously Approved
01/31/2021 36 Months From Approved 01/31/2018
150 0 150
75 0 75
0 0 0

SF 2803/SF 3108 are an application to make payment used by persons who are eligible to pay for Federal service which was not subject to retirement deductions and/or for Federal service which was subject to retirement deduction which were subsequently refunded to the applicant.

US Code: 5 USC Chapter 83, Section 8334 Name of Law: CSRS
   US Code: 5 USC Chapter 84, Section 8411 Name of Law: FERS
  
None

Not associated with rulemaking

  82 FR 17891 04/13/2017
82 FR 58227 12/11/2017
No

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 150 150 0 0 0 0
Annual Time Burden (Hours) 75 75 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$2,800
No
    Yes
    Yes
No
No
No
Uncollected
Charles Conyers 202 606-0125 [email protected]

  No

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.
12/29/2017


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