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CSRS/FERS Documentation in Support of Disability Retirement Application
 
No Modified
 
Required to Obtain or Retain Benefits
 
5 CFR 844 Subpart C 5 CFR 831 Subpart L

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SF 3112 No   Fillable Printable

General Government Central Personnel

OPM/Central-1  73 FR 15013

13,450 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 13,450 0 0 0 0 13,450
Annual IC Time Burden (Hours) 12,775 0 0 0 0 12,775
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SF 3112 December 2009 Markup 04/15/2010
SF3112 Feb 2004 Markup 04/15/2010
SF3112-1 04/15/2010
SF3112-2 04/15/2010
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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