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Federal forms, ICRs, and supporting documents

Information Collection Request

CLAIM FOR RETROACTIVE PAY ENTITLEMENT UNDER THE CIVIL SERVICE REFORM ACT OF 1978

ICR 198107-3206-009 · OMB 3206-0090 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
176709 CLAIM FOR RETROACTIVE PAY ENTITLEMENT UNDER THE CIVIL SERVICE REFORM ACT OF 1978 Form Migrated
ICR Details
3206-0090 198107-3206-009
Historical Active 198101-3206-017
OPM
CLAIM FOR RETROACTIVE PAY ENTITLEMENT UNDER THE CIVIL SERVICE REFORM ACT OF 1978
No material or nonsubstantive change to a currently approved collection   No
Emergency 07/17/1981
Approved with change 07/17/1981
Retrieve Notice of Action (NOA) 07/17/1981
  Inventory as of this Action Requested Previously Approved
07/31/1984 07/31/1984 01/31/1985
300 0 300
150 0 150
0 0 0
SECTION 801 (B)(1) OF THE CIVIL SERVICE REFORM ACT OF 1978 REQUIRES THAT EMPLOYEES WHO WERE DEMOTED ON OR AFTER JANUARY 1, 1977 AND PRIOR TO THE EFFECTIVE DATE OF VIII, CSRA, UNDER CONDITIONS WHICH WOULD HAVE ENTITLED THE EMPLOYEES TO GRADE RETENTION HAD THESE AMENDMENTS BEEN IN EFFECT ARE ENTITLED TO RECEIVE RETROACTIVE PAY. THIS FORM IS USED TO APPLY FOR THIS PAY AND TO GET DATA SO EMPLOYEE RECORDS CAN BE VERIFIED. BURDEN HOURS ADJUSTED TO REFLECT USE BY ANNUITANTS AN
None
None
No
1
IC Title Form No. Form Name
CLAIM FOR RETROACTIVE PAY ENTITLEMENT UNDER THE CIVIL SERVICE REFORM ACT OF 1978 OPM 1367
  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 300 300 0 0 0 0
Annual Time Burden (Hours) 150 150 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
07/17/1981