OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Application to Make Deposit or Redeposit (CSRS)/Application to Make Service Credit Payment for Civilian Service (FERS)

ICR 201004-3206-004 · OMB 3206-0134 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form SF 3108 SF 2803, Application to Make Deposit or Redeposit (CSRS); SF 3108, Application to Make Service Credit Payment (FERS) Form and Instruction Modified Available
SF 2803 and SF 3108 SS.doc Supporting Statement A Uploaded 2010-04-01 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
33597 SF 2803, Application to Make Deposit or Redeposit (CSRS); SF 3108, Application to Make Service Credit Payment (FERS) Form and Instruction Modified
ICR Details
3206-0134 201004-3206-004
Historical Active 201001-3206-001
OPM
Application to Make Deposit or Redeposit (CSRS)/Application to Make Service Credit Payment for Civilian Service (FERS)
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 07/23/2010
Retrieve Notice of Action (NOA) 04/02/2010
  Inventory as of this Action Requested Previously Approved
07/31/2013 36 Months From Approved
150 0 0
75 0 0
0 0 0
Forms SF 2803 and SF 3108 are applications 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.
US Code: 5 USC Chapter 84, Section 8411 Name of Law: FERS
   US Code: 5 USC Chapter 83, Section 8334 Name of Law: CSRS
  
None
Not associated with rulemaking
  74 FR 26442 06/02/2009
74 FR 67254 12/18/2009
Yes
  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 0 0 0 0 150
Annual Time Burden (Hours) 75 0 0 0 0 75
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$2,800
No
No
No
Uncollected
No
Uncollected
Phyllis Pinkney 202-606-0623 [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.
04/02/2010