OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Report of Withholdings and Contributions for Health Benefits, Life Insurance and Retirement

ICR 201305-3206-001 · OMB 3206-0262 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form OPM 1523 OPM 1523 Form and Instruction New Repair queued
Form SF 2812A SF 2812A Form and Instruction New Available
Form SF 2812 SF 2812 Form and Instruction New Repair queued
2013-20533.pdf Supplementary Document Uploaded 2013-11-05 Available
2013-13216.pdf Supplementary Document Uploaded 2013-11-05 Available
Supporting Stmt FERS-RAE FINAL to OMB.doc Supporting Statement A Uploaded 2013-11-05 Available
IC Document Collections
IC IDCollectionTypeStatusForm
209211 OPM 1523 Form and Instruction New
209210 SF 2812A Form and Instruction New
209209 SF 2812 Form and Instruction New
ICR Details
3206-0262 201305-3206-001
Historical Active
OPM
Report of Withholdings and Contributions for Health Benefits, Life Insurance and Retirement
Existing collection in use without an OMB Control Number   No
Regular
Approved without change 12/09/2013
Retrieve Notice of Action (NOA) 11/05/2013
OPM must report this collection as a violation in this year's Information Collection Budget.
  Inventory as of this Action Requested Previously Approved
12/31/2016 36 Months From Approved
5,400 0 0
2,700 0 0
0 0 0
Public Law 112-96, Section 5001, the "Middle Class Tax Relief and Job Creation Act of 2012," makes two significant changes to the Federal Employees' Retirement System (FERS). First, beginning in 2013, new employees (as designated in the statute) will have to pay significantly higher employee contributions, an increase of 2.3 percent of salary. Second, new Members of Congress and Congressional employees, in addition to paying higher retirement contributions, will accrue retirement benefits at the same rate as regular employees. New employees affected by this law will be classified in a new retirement category; the Federal Employees' Retirement System – Revised Annuity Employees (FERS-RAE). The current Standard Form 2812, Standard Form 2812-A, and OPM Form 1523, have been changed to reflect this additional category.
PL: Pub.L. 112 - 96 5001 Name of Law: Middle Class Tax Relief and Job Creation Act of 2012
   US Code: 5 USC 83, 84, 87, 89 Name of Law: null
  
None
Not associated with rulemaking
  78 FR 33450 06/04/2013
78 FR 52579 08/23/2013
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 5,400 0 0 5,400 0 0
Annual Time Burden (Hours) 2,700 0 0 2,700 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The increase in burden is due to OPM reporting the use of this previously unreported collection. Due to non-Federal entities participating in FERS, there is a potential for non-Federal employees at these organizations to have to complete these forms. The collections do not collect any PII. The vast majority of users of this collection are Federal.
$75,600
No
No
No
No
No
Uncollected
Paul Gvosdov 202 418-9918 [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.
11/05/2013