View Information Collection Request (ICR) Package
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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:
3206-0134
ICR Reference No:
201712-3206-017
Status:
Historical Active
Previous ICR Reference No:
201604-3206-004
Agency/Subagency:
OPM
Agency Tracking No:
SF 2803/SF 3108
Title:
Application to Make Deposit or Redeposit (CSRS)/Application to Make Service Credit Payment for Civilian Service (FERS)
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
01/30/2018
Retrieve Notice of Action (NOA)
Date Received in OIRA:
12/29/2017
Terms of Clearance:
This collection is approved based on the revised materials provided by the Agency.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
01/31/2021
36 Months From Approved
01/31/2018
Responses
150
0
150
Time Burden (Hours)
75
0
75
Cost Burden (Dollars)
0
0
0
Abstract:
SF 2803/SF 3108 are an application to make payment used by persons who are eligible to pay for Federal service which was not subject to retirement deductions and/or for Federal service which was subject to retirement deduction which were subsequently refunded to the applicant.
Authorizing Statute(s):
US Code:
5 USC Chapter 83, Section 8334
Name of Law: CSRS
US Code:
5 USC Chapter 84, Section 8411
Name of Law: FERS
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
82 FR 17891
04/13/2017
30-day Notice:
Federal Register Citation:
Citation Date:
82 FR 58227
12/11/2017
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Application to Make Deposit or Redeposit (CSRS)/Application to Make Service Credit Payment (FERS)
SF 2803/SF 2803A, SF 3108/SF 3108A, SF 2803/SF 2803A, SF 3108/SF 3108A, SF 2803/SF 2803A, SF 3108/SF 3108A
Application to Make Deposit or Redeposit/Application to Pay Military Deposit for Military Service Performed After December 31, 1956
,
Application to Make Deposit or Redeposit/Application to Pay Military Deposit for Military Service Performed After December 31, 1956
,
Application to Make Service Credit Payment for Civilian Service (FERS)/Application to Pay Military Deposit for Military Service Performed After December 31, 1956
,
Application to Make Service Credit Payment for Civilian Service (FERS)/Application to Pay Military Deposit for Military Service Performed After December 31, 1956
,
Application to Make Deposit or Redeposit/Application to Pay Military Deposit for Military Service Performed After December 31, 1956
,
Application to Make Service Credit Payment/Application o Pay Military Deposit for Military Service Performed After December 31, 1956
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
150
150
0
0
0
0
Annual Time Burden (Hours)
75
75
0
0
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
Annual Cost to Federal Government:
$2,800
Does this IC contain surveys, censuses, or employ statistical methods?
No
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
Yes
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
Yes
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Charles Conyers 202 606-0125 charles.conyers@opm.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
12/29/2017
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