View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Application for Death Benefits (FERS); Documentation and Elections in Support of Application for Death Benefits when Deceased was an Employee at the Time of Death
 
No Modified
 
Required to Obtain or Retain Benefits
 
5 CFR 843

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SF 3104 No   Fillable Printable
Form and Instruction SF 3104B No   Fillable Printable

General Government Central Personnel

OPM/Central-1  73 FR 15013

16,751 0
   
Individuals or Households
 
   0 %

  Approved 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 16,751 0 3,385 0 0 13,366
Annual IC Time Burden (Hours) 16,751 0 3,385 0 0 13,366
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SF 3104B_November 2010_Hi-Lights 06/22/2010
SF3104B_May2003_Hi-Lights 06/22/2010
SF3104_November2010_Hi-lights 06/22/2010
SF3104_April2002_hilight 06/22/2010
SF3114_August2003_Hilight 06/22/2010
SF3114_September2008_Hi-light 06/22/2010
SF3114_September2008 06/22/2010
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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