View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 3206-0228	ICR Reference No: 201602-3206-001
Status: Historical Active	Previous ICR Reference No: 201303-3206-005
Agency/Subagency: OPM	Agency Tracking No:
Title: SF 3112, CSRS/FERS Documentation in Support of Disability Retirement Application
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/12/2016
	Date Received in OIRA: 02/19/2016
Terms of Clearance: This collection is approved for a year only. When re-submitted, OPM needs to include the applicable SORN and PIA associated with this collection and make any required changes.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2017	36 Months From Approved	12/31/2016
Responses	13,450	0	13,450
Time Burden (Hours)	12,775	0	12,775
Cost Burden (Dollars)	0	0	0

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.