Information Collection

CSRS/FERS Documentation in Support of Disability Retirement Application

IC 33732 under ICR 202404-3206-010 · OMB 3206-0228.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SF 3112 CSRS/FERS Documentation in Support of Disability Retirement Application	Form and Instruction
SF 3112 CSRS/FERS Documentation in Support of Disability Retirem SF3112_2021_02.pdf www.opm.gov	Form and Instruction
SF 3112_MarkUp CSRS/FERS Documentation in Support of Disability Retirem SF3112_2018_02_MarkUp.pdf www.opm.gov	Form and Instruction
SF 3112 CSRS/FERS Documentation in Support of Disability Retirem SF3112_2024_12_Final.pdf	Form and Instruction
SF3112_2018_02_MarkUp.pdf Mock up	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 831 Subpart L 5 CFR 844 Subpart C

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 and Instruction	SF 3112	CSRS/FERS Documentation in Support of Disability Retirement	SF3112_2024_12_Final.pdf		No		Fillable Printable

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records

Title: OPM/Central-1

FR Citation: 73 FR 15013

Number of Respondents: 12,100

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	12,100	-1,350	13,450
Annual IC Time Burden (Hours)	18,150	5,375	12,775
Annual IC Cost Burden (Dollars)	247,094	-27,568	274,662

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.