Abstract: Public Law 112-96, Section
5001, the "Middle Class Tax Relief and Job Creation Act of 2012,"
requires OPM to collect information. OPM collects this information
via the following forms: 1) Report of Withholdings and
Contributions for Health Benefits, Life Insurance and Retirement
(Standard Form 2812); 2) Report of Withholdings and Contributions
for Health Benefits By Enrollment Code (Standard Form 2812-A); 3)
Supplemental Semiannual Headcount Report (OPM Form 1523). The
current Standard Form 2812, Standard Form 2812-A, and OPM Form 1523
reflect that there is no change in the law.
Demetrius Jones 202 606-5203
demetrius.jones@opm.gov
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.