OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Application for Refund of Retirement Deductions (CSRS) Current/Former Spouse's Notification of Application for Refund

ICR 200712-3206-004 · OMB 3206-0128 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form SF-2802/SF 2802A Application for Refund of Retirement Deductions (CSRS) Current/Former Spouse's Notification of Application for Refund Form Modified Available
SF2802_OMBSuppStmt.doc Supporting Statement A Uploaded 2007-12-27 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
33589 Application for Refund of Retirement Deductions (CSRS) Current/Former Spouse's Notification of Application for Refund Form Modified
ICR Details
3206-0128 200712-3206-004
Historical Active 200406-3206-001
OPM
Application for Refund of Retirement Deductions (CSRS) Current/Former Spouse's Notification of Application for Refund
Revision of a currently approved collection   No
Regular
Approved without change 02/08/2008
Retrieve Notice of Action (NOA) 12/27/2007
  Inventory as of this Action Requested Previously Approved
02/28/2011 36 Months From Approved 02/29/2008
7,130 0 7,130
4,588 0 4,588
0 0 0
SF 2802 is used to support the payment of monies from the Retirement Fund. It identifies that applicant for refund. SF 2802A is used to comply with the legal requirement that any spouse of former spouse of the applicant has been notified that the former employee is applying for a refund.
US Code: 5 USC Chapt. 83, Sect. 8342 Name of Law: null
  
None
Not associated with rulemaking
  72 FR 29556 05/29/2007
72 FR 73385 12/27/2007
No
  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 7,130 7,130 0 0 0 0
Annual Time Burden (Hours) 4,588 4,588 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$19,000
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Mary Smith-Toomey 202 606-8358 [email protected]
  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.
12/27/2007