OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

CSRS/FERS Documentation in Support of Disability Retirement Application

OMB 3206-0228 · OPM.

OMB 3206-0228

SF 3112 collects information from applicants for disability retirement so that OPM can determine whether to approve a disability retirement. The applicant will only complete Standard Forms 3112A and 3112C. Standard Forms 3112B, 3112D and 3112E will be completed by the immediate supervisor and the employing agency of the applicant.

The latest form for CSRS/FERS Documentation in Support of Disability Retirement Application expires 2027-11-30 and is listed under ICR 202404-3206-010.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form SF 3112 CSRS/FERS Documentation in Support of Disability Retirement ApplicationForm and Instruction
OMB_Justification_SF3112_2022_03_08.docx Justification for No Material/Nonsubstantive Change
2021-03964.pdf Supplementary Document
2020-11734.pdf Supplementary Document
SF3112_2018_02_MarkUp.pdf Supplementary Document
SF3112_2021_02_MarkUp.pdf Supplementary Document
ARS PIA Final 12212017signed.pdf Supplementary Document
SF3112_Regs.pdf Supplementary Document
SF3112_OMBSupportingStmt_2021_02_18.docxSupporting Statement A
CSRS/FERS Documentation in Support of Disability Retirement Application Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202404-3206-010 Revision of a currently approved collection 2024-04-30
202203-3206-012 No material or nonsubstantive change to a currently approved collection 2022-03-08 Approved without change
202102-3206-004 Revision of a currently approved collection 2021-02-26 Approved without change
201712-3206-009 Revision of a currently approved collection 2017-12-29 Approved with change
201602-3206-001 Extension without change of a currently approved collection 2016-02-19 Approved with change
201303-3206-005 Extension without change of a currently approved collection 2013-03-28 Approved without change
201004-3206-011 Revision of a currently approved collection 2010-04-26 Approved without change
200704-3206-003 Extension without change of a currently approved collection 2007-04-24 Approved without change
200402-3206-002 Revision of a currently approved collection 2004-02-23 Approved without change
200008-3206-005 Reinstatement without change of a previously approved collection 2000-08-18 Approved without change
199612-3206-004 Reinstatement with change of a previously approved collection 1996-12-18 Approved without change
199509-3206-001 New collection (Request for a new OMB Control Number) 1995-09-01 Approved without change