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Federal forms, ICRs, and supporting documents

Information Collection

Form 12311 - Repayment of a Federal Government Buyout and Possible Suspension of Severance Pay

IC 19621 under ICR 202408-1545-021 · OMB 1545-1920.

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Form 12311 - Repayment of a Federal Government Buyout and Possible Suspension of Severance Pay
 
No Modified
 
Required to Obtain or Retain Benefits
 
5 CFR 550.710 5 CFR 550.771

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 12311 Repayment of a Federal Government Buyout and Possible Suspension of Severance Pay Form 12311--2005-11-00.pdf Yes No Fillable Printable

General Government Taxation Management

IRS 36.003 – General Personnel and Payroll Records and IRS 34.037 – Audit Trail and Security Records  80 FR 54064

6,624 0
   
Individuals or Households
 
   0 %

  Requested 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 6,624 0 0 0 0 6,624
Annual IC Time Burden (Hours) 530 0 0 0 0 530
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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