OMB control number
Claim for Unpaid Compensation of Deceased Civilian Employee
OMB 3206-0234 · OPM.
OMB 3206-0234
5 CFR 178.205(a) directs the agency in which a deceased employee was last employed to request, in the order of payment precedence outlined in 5 CFR 178.204, the appropriate person or persons to execute Standard Form 1153, "Claim for Unpaid Compensation of Deceased Civilian Employee." The information collected on this form is needed by the employing agencies and, in the event of a disputed claim, by OPM to help determine the claimant's and others' rights to the unpaid compensation of the deceased employee. 31 USC 3702 authorizes the Director of the Office of Personnel Management (OPM) to settle claims involving Federal civilian employees' compensation and leave. OMB promulgated regulations at 5 CFR 178 describing general procedures applicable to claims against the United States that may be settled by the OPM Director.
The latest form for Claim for Unpaid Compensation of Deceased Civilian Employee expires 2021-06-30 and is listed under ICR 201804-3206-004.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form SF 1153 Claim for Unpaid Compensation of Deceased Civilian Employee | Form and Instruction |
| 30 Day Notice 3206-0234.pdf | Supplementary Document |
| 60 Day Notice 3206-0234.pdf | Supplementary Document |
| SF1153_OMB__Stmt A 3206-0234.pdf | Supporting Statement A |
 Claim for Unpaid Compensation of Deceased Civilian Employee |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202207-3206-002 | Reinstatement without change of a previously approved collection | 2022-07-27 | Improperly submitted and continue | |
| 201804-3206-004 | Revision of a currently approved collection | 2018-04-27 | Approved with change | |
| 201503-3206-002 | Reinstatement without change of a previously approved collection | 2015-03-25 | Approved with change | |
| 201109-3206-001 | Reinstatement with change of a previously approved collection | 2012-01-26 | Approved without change | |
| 200810-3206-004 | Revision of a currently approved collection | 2008-10-29 | Approved without change | |
| 200506-3206-001 | Revision of a currently approved collection | 2005-06-03 | Approved without change | |
| 200110-3206-002 | Revision of a currently approved collection | 2001-10-16 | Approved without change | |
| 199806-3206-001 | Existing collection in use without an OMB Control Number | 1998-06-18 | Approved without change |
OMB Details
Claim for Unpaid Compensation of Deceased Civilian Employee
Federal Enterprise Architecture: General Government - Executive Functions
| Form | Name | Electronic access | Type |
|---|---|---|---|
| Form SF-1153 | Claim for Unpaid Compensation of Deceased Civilian Employee | Fillable Printable | Form |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.