STANDARD FORM 3105 A-E ARE THE
INSTRUMENTS BY WHICH AN EMPLOYEE PARTICIPATING IN THE FEDERAL
EMPLOYEES RETIREMENT SYSTEM (FERS) APPLIE FOR RETIREMENT ON THE
BASIS OF DISABILITY. THESE FORMS ARE THE MEANS BY WHICH OPM CAN
OBTAIN THE DOCUMENTATION NECESSARY TO DETERMINE IF TH APPLICANT
MEETS THE QUALIFICATIONS FOR DISABILITY RETIREMENT.
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.