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View ICR - OIRA Conclusion

OMB Control No: 3206-0228	ICR Reference No: 202404-3206-010
Status: Active	Previous ICR Reference No: 202203-3206-012
Agency/Subagency: OPM	Agency Tracking No: SF 3112
Title: CSRS/FERS Documentation in Support of Disability Retirement Application
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: 11/14/2024
	Date Received in OIRA: 04/30/2024
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	11/30/2027	36 Months From Approved	11/30/2024
Responses	12,100	0	13,450
Time Burden (Hours)	18,150	0	12,775
Cost Burden (Dollars)	247,094	0	274,662

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	12,100	13,450	-1,350
Annual Time Burden (Hours)	18,150	12,775	5,375
Annual Cost Burden (Dollars)	247,094	274,662	-27,568

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The burden numbers have been updated due to updated numbers which allow for more accurate calculations.

Annual Cost to Federal Government: $1,123,500

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? No

Agency Contact: Alexys Stanley 202 936-2501 alexys.stanley@opm.gov

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