Office of Personnel Management

OPM

Federal Forms

Forms
OMB NumberTitle
3206-0278 USA Staffing
3206-0277 Certification of Vaccination Form
3206-0276 A 11 Section 280 CX/UX
3206-0275 Application for Court-Ordered Benefits for Former Spouses, Standard Form 3119
3206-0274 Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Survey
3206-0272 Federal Employees Dental and Vision Insurance Program (FEDVIP)
3206-0271 Combined Federal Campaign (CFC) Form 1654-B (Retiree Pledge Form)
3206-0270 RI 76-10 Assignment, Federal Employees' Group Life Insurance (FEGLI) Program
3206-0269 Combined Federal Campaign
3206-0268 Certification of Qualifying District of Columbia Service Under Section 1905 of Public Law 111-84
3206-0267 Federal Annuitant Benefits Survey
3206-0266 INV 100A - PRIVACY ACT REQUEST FOR COMPLETED STANDARD FORM SF85/SF85P/SF86
3206-0265 White House Fellows Commision Application
3206-0264 Flags Request Form
3206-0263 Request for External Review
3206-0262 Report of Withholdings and Contributions for Health Benefits, Life Insurance and Retirement
3206-0261 CFPB's use of SF-85 Questionnaire for Non-Sensitive Positions
3206-0260 FEGLI Implementation Questionnaire for Tribal Employers
3206-0259 Freedom of Information/Privacy Act Record Request Form (INV 100)
3206-0258 SF 85P Questionnaire for Public Trust Positions and SF 85PS Supplemental Questionnaire for Selected Positions
3206-0257 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
3206-0256 Ombudsman Request for Assistance
3206-0255 Request for Information, Multi-State Plans
3206-0254 RI 20-123, Request for Case Review for Enhanced Disability Annuity Benefit
3206-0253 Performance Measurement Surveys
3206-0252 Program Services Evaluation Surveys
3206-0251 DISTRIBUTION OF FEHB/FEGLI IMPLEMENTATION QUESTIONNAIRES TO TRIBES AND URBAN INDIAN ORGANIZATIONS
3206-0250 OF 178 Certificate of Medical Examination
3206-0249 Retirement Systems Modernization (RSM) Defined Benefits Technology Solution (DBTS)
3206-0248 Application for Senior Administrative Law Judge & Geographic Preference Statement for Senior Administrative Law Judge
3206-0247 General Population Rental Equivalence Survey (GPRES)
3206-0246 Scholarship For Service (SFS) Program Internet Site
3206-0245 Request for Change to Unreduced Annuity
3206-0244 Website Customer Satisfaction Survey
3206-0243 Customer Satisfaction Survey
3206-0242 We're Listening - A Survey of the OHRD Website
3206-0241 Customer Satisfaction Survey of Workforce Compensation & Performance Service web pages
3206-0240 Child Care Provider Information for the Child Care Tuition Assistance Program for Federal Employees
3206-0239 Annuitant/OWCP Health Benefits Election Form
3206-0238 Year 2000 Compliance Survey
3206-0237 RI 38-47, Information and Instructions on Your Reconsideration Rights
3206-0236 Customer Satisfaction Surveys
3206-0235 Letter Reply to Request for Information. Former Spouse Survivor Annuity Election/Information on Electing a Survivor for Your Former Spouse
3206-0234 Claim for Unpaid Compensation of Deceased Civilian Employee
3206-0233 Civil Service Retirement System Survivor Annuitant Express Pay Application for Death Benefits
3206-0232 Procedures for Submitting Compensation and Leave Claims
3206-0231 Federal Contractor Welfare-to-Work Success Stories
3206-0230 Life Insurance Election
3206-0229 Application for Federal Employee Commercial Garnishment
3206-0228 CSRS/FERS Documentation in Support of Disability Retirement Application
3206-0226 It's Time To Sign Up for Direct Deposit or Direct Express
3206-0225 1995 FEDERAL EMPLOYEES HEALTH BENEFITS PLANS' CONSUMER SATISFACTION SURVEY
3206-0224 Federal Employment Information Customer Survey
3206-0221 ANNUITANT SATISFACTION QUESTIONNAIRE
3206-0219 USAJOBS 3.0
3206-0218 RI 94-7, Death Benefit Payment Rollover Election Form
3206-0217 ELIGIBILITY FOR SSA DISABILITY BENEFITS, SSA BENEFITS DENIED
3206-0216 We Need Important Information About Your Eligibility for Social Security Disability Benefits
3206-0215 Verification of Full-Time School Attendance
3206-0214 PROJECT ABLE Connection
3206-0213 Marital Information Required of Refund Applicants
3206-0212 RI 38-117, Rollover Election, RI 37-118, Rollover Information, and RI 37-22, Special Tax Notice Regarding Rollovers
3206-0211 Reemployment of Annuitants - 5 CFR Section 837.103
3206-0209 NONFOREIGN AREA COLA EMPLOYEE LIVING PATTERNS AND HOUSING COST SURVEY
3206-0208 Representative Payee Survey
3206-0206 Evidence to Prove Dependency of a Child
3206-0205 SURVEY OF CONTINUING FULL-TIME SCHOOL ATTENDANCE
3206-0204 Court Orders Affecting Retirement Benefits - 5 CFR 838.221, 838.421, and 838.721
3206-0203 OFFICE OF PERSONNEL MANAGEMENT FIREFIGHTER QUESTIONNAIRE - PAY AND WORK SCHEDULE DATA COLLECTION
3206-0202 Request to Change FEHB Enrollment or to Receive Plan Brochures for Spouse Equity/Temporary Continuation of Coverage Enrollees/Direct Pay Annuitants
3206-0201 Federal Employee Health Benefits (FEHB) Open Season Express Interactive Response (IVR) System
3206-0200 Open Season Health Benefits Enrollment Change Form
3206-0199 Nonforeign Area COLA Price and Background Surveys
3206-0198 SURVEY OF FEDERAL APPLICANTS AND RECENTLY HIRED EMPLOYEES
3206-0197 Verification of Who Is Getting Payments
3206-0196 SURVEY OF COMPUTER SPECIALISTS
3206-0195 SURVEY OF FORMER NIST EMPLOYEES
3206-0194 Annuity Supplement Earnings Report
3206-0193 Combined Federal Campaign Results Form
3206-0191 Questionnaire for Public Trust Positions and Supplemental Questionnaire for Selected Positions
3206-0190 Application for Deferred or Postponed Retirement (FERS)
3206-0189 Client Satisfaction Survey Questionnaire
3206-0187 We Need Information About Your Missing Payment
3206-0186 THE U.S. OFFICE OF PERSONNEL MANAGEMENT 1989 GEOGRAPHIC WHITE-COLLAR COMPENSATION SURVEY
3206-0184 ATTITUDINAL SURVEY OF THE FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM
3206-0182 Declaration for Federal Employment (OF 306)
3206-0181 CERTIFICATION OF ELIGIBILITY TO RECEIVE THE FEHBP PREMIUM REBATE UNDER THE MEDICARE CATASTROPHIC COVERAGE ACT
3206-0179 Disabled Dependent Questionnaire
3206-0176 FERS ALTERNATIVE ANNUITY ELECTION
3206-0175 APPLICANT'S STATEMENT OF SELECTIVE SERVICE REGISTRATION STATUS (TO BE PUBLISHED AS PART OF OPM'S REGULATIONS ADDING NEW SUBPART TO 5 CFR 300, TO IMPLEMENT NEW STATUTORY
3206-0174 Survivor Annuity Election for a Spouse/Cover Letter Giving Information About the Cost to Elect Less Than the Maximum Survivor Annuity/Cover Letter Giving Information About the....
3206-0173 Designation of Beneficiary (CSRS and FERS)
3206-0172 Application for Death Benefits (FERS)/Documentation and Elections in Support of Application for Death Benefits when Deceased was an Employee at the Time of Death (FERS)
3206-0171 DOCUMENTATION IN SUPPORT OF DISABILITY RETIREMENT APPLICATION (FERS)
3206-0170 Application for Refund of Retirement Deductions (FERS)/Current-Former Spouse's Notification of Application for Refund of Retirement Deductions Under the....
3206-0168 Alternative Annuity Election
3206-0167 RI 34-1, 34-17, Financial Resources Questionnaire, RI 34-3, RI 34-19, Notice of Amount Due Because of Annuity Overpayment and RI 34-20, Notice of Amount Due Because of FEHB Premium Underpayment.
3206-0166 APPLICANT'S STATEMENT OF SELECTIVE SERVICE REGISTRATION STATUS
3206-0165 General Request for Investigative Information, Investigation Request for Employment Data and Supervisor Information, Investigative Request for Personal Information, Investigative...
3206-0164 APPLICATION TO PROVIDE SURVIVOR ANNUITY BENEFITS FOR A PERSON WHOM YOU MARRIED AFTER YOU RETIRED
3206-0163 APPLICATION TO ELECT REDUCED ANNUITY WITH SURVIVOR BENEFIT FOR A FORMER SPOUSE, RI 20-41 (FORMERLY BRI46-423)
3206-0162 Report of Medical Examination of Person Electing Survivor Benefits Under the Civil Service Retirement System
3206-0161 ADDENDUM TO OPM FORM 1496A, APPLICATION FOR DEFERRED ANNUITY (FOR PERSONS SEPARATED ON OR AFTER OCTOBER 1, 1956), RI FORM 20-56 (FORMERLY BRI 46-437)
3206-0160 Health Benefits Election Form
3206-0159 APPLICATION FOR IMMEDIATE OR PROSPECTIVE SURVIVOR ANNUITY BENEFITS
3206-0158 Former Spouse's Application for Survivor Annuity under the Civil Service Retirement System
3206-0157 HEALTH BENEFITS REGISTRATION FORM
3206-0156 Application for Death Benefits Under the Civil Service Retirement System/Documentation and Elections in Support of Application for Death Benefits When Deceased Was an Employee
3206-0151 REPRESENTATIVE PAYEE REPORT
3206-0150 SF 87 Fingerprint Charts
3206-0149 Financial Eligibility Statement for Student and Summer Aid
3206-0145 Application to Participate as a Carrier of a Comprehensive Medical Plan in the Federal Employees Health Benefits Program
3206-0144 More Information Needed for the Person Named Below
3206-0143 Request to Disability Annuitant for Information on Physical Condition and Employment
3206-0142 Designation of Beneficiary (CSRS)
3206-0141 OPM 2809, Health Benefits Election Form
3206-0140 Representative Payee Application/Information Necessary for a Competency Determination
3206-0139 DO YOU WANT TO PROVIDE A SURVIVOR ANNUITY FOR YOUR SPOUSE?
3206-0138 Reinstatement of Disability Annuity Previously Terminated Because of Restoration to Earning Capacity
3206-0136 SF 2823, Designation of Beneficiary - Federal Employees' Group Life Insurance Program (FEGLI)
3206-0134 Application to Make Deposit or Redeposit (CSRS)/Application to Make Service Credit Payment for Civilian Service (FERS)
3206-0133 DOCUMENTATION IN SUPPORT OF DISABILITY RETIREMENT APPLICATION (CSRS)
3206-0131 Combined Federal Campaign
3206-0130 Monthly Report of Full-Time Equivalent/Work-Year Civilian Employment
3206-0129 SOLICIATION/EXECUTION OF CONTRACTS FOR PROCURING GOODS/SERVICES
3206-0128 Application for Refund of Retirement Deductions (CSRS) Current/Former Spouse's Notification of Application for Refund
3206-0127 SURVEY ON OCCUPATIONS OF FEDERAL CIVILIAN EMPLOYEES
3206-0124 QUALIFICATIONS ANALYSIS AND APPRAISAL OF CANDIDATES FOR SUPERVISORY POSITIONS
3206-0122 YOU MAY BE ELIGIBLE FOR AN INCREASED ANNUITY
3206-0121 Application for Deferred Retirement (Separations on or after October 1, 1956); OPM 1496A
3206-0120 VOLUNTARY STATE TAX WITHHOLDING
3206-0119 EMERGENCY COORDINATORS/DIRECTORS TRAINING NEEDS PROFILE
3206-0118 FEDERAL JUNIOR FELLOWSHIP PROGRAM, INDIVIDUAL NOMINEE EVALUATION
3206-0117 THE WHITE HOUSE FELLOWSHIPS 1979-80 APPLICATION
3206-0112 QUESTIONNAIRE FOR FORMER FEDERAL EXECUTIVES
3206-0106 Interview Survey Form (INV 10)
3206-0105 TASK ENVIRONMENT SURVEY (I) AND (II)
3206-0104 INSURANCE CARRIER CERTIFICATION
3206-0103 NOTIFY US IF YOUR CHILD IS UNABLE TO QUALIFY FOR SURVIVOR BENEFITS
3206-0102 HEALTH BENEFITS ELECTION FORM, ANNUITANTS
3206-0101 ENROLLMENT REPORT, REPORTS NO. 7, 8, AND 9
3206-0100 PATC - LQB, SPRING 1981 SURVEY
3206-0099 Initial Certification of Full-time School Attendance
3206-0098 REQUEST TO INSPECT OR RECEIVE COPIES OF SF 278, FINANCIAL DISCLOSURE REPORT
3206-0097 EVALUATION QUESTIONNAIRE FOR PMIP SCREENING PANEL MEMBERS
3206-0096 CHILD'S ELIGIBILITY TO RECEIVE BENEFITS AFTER AGE 18
3206-0095 Applicnt Race and National Origin Questionnaire
3206-0094 PERSONNEL RESEARCH QUESTIONNAIRE 79-1
3206-0093 PRESIDENTIAL MANAGEMENT INTERNSHIP PROGRAM EVALUATION
3206-0092 FINANCIAL DISCLOSURE REPORT
3206-0090 CLAIM FOR RETROACTIVE PAY ENTITLEMENT UNDER THE CIVIL SERVICE REFORM ACT OF 1978
3206-0089 MID-LEVEL DATA SHEET
3206-0088 APPLICATION FOR RESTORATION OF SURVIVOR ANNUITY
3206-0085 APPLICATION FOR FEDERAL ASSISTANCE(SHORT FORM)
3206-0082 Presidential Management Fellows (PMF) Program Online Application and Resume Builder
3206-0081 NATIVE AMERICAN INTERN PROGRAM APPLICATION FORM, OPM 1305
3206-0080 STATE SALARY SURVEY
3206-0079 PROJECT DATA SUMMARY, OPM 1290
3206-0078 APPLICATION FORMS AND SAMPLE QUESTIONS FOR PACE
3206-0076 Application to be Listed Under the Voting Rights of 1965
3206-0075 APPLICATION FOR - ARCHITECTS AND LANDSCAPE ARCHITECTS
3206-0067 IDENTIFICATION AND PERSONNEL DATA FOR EMPLOYMENT OF UNITED STATES CITIZEN
3206-0066 INQUIRY FOR UNITED STATES GOVERNMENT USE ONLY (LAW ENFORCEMENT INQUIRY)
3206-0065 INQUIRY FOR UNITED STATES GOVERNMENT USE ONLY (EDUCATIONAL INQUIRY) OF 50
3206-0064 INQUIRY FOR UNITED STATES GOVERNMENT USE ONLY (REFERENCE AND EMPLOYMENT INQUIRY), OF 49
3206-0061 Application for Minimum Annuity
3206-0060 P.L. 93-273 INCREASE CERTAIN CHILDREN'S ANNUITIES
3206-0059 APPLICATION FOR MINIMUM ANNUITY
3206-0057 ANNUAL GEOGRAPHIC DISTRIBUTION OF FEDERAL PAYROLLS
3206-0056 GEOGRAPHIC DISTRIBUTION OF FEDERAL CIVILIAN EMPLOYEES
3206-0046 APPLICATION FORM - VISUAL ARTS, GRAPHIC DESIGNER, ILLUSTRATOR, PHOTOGRAPHER
3206-0045 QUALIFICATIONS INQUIRY AND TRANSMITTAL LETTER
3206-0043 PERSONAL REFERENCE INQUIRY FOR ADMINISTRATIVE LAW JUDGE POSITIONS
3206-0042 Notice of Change in Student's Status; RI 25-15
3206-0040 Occupational Questionnaire
3206-0039 CHANGE FORM - RECOGNITIONS AND AGREEMENTS
3206-0038 SUPPLEMENTAL QUALIFICATIONS STATEMENT
3206-0036 Establishment Information Form, Wage Data Collection Form, and Wage Data Collection Continuation Form
3206-0035 QUALIFICATION INQUIRY FOR TESTING PERSONNEL
3206-0034 RI 30-2, Annuitant's Report of Earned Income
3206-0033 Marital Status Certification
3206-0032 Self-Certification of Full-Time School Attendance
3206-0031 APPLICATION FOR FEDERAL ASSISTANCE(NON-CONSTRUCTION PROGRAM)
3206-0022 MERIT SYSTEM AND GRANT-AIDED AGENCY - REVIEW OF PERSONNEL OPERATION
3206-0017 Medicare Part B Certification
3206-0013 STATEMENT OF PHYSICAL ABILITY FOR LIGHT DUTY WORK
3206-0012 APPLICATION FOR FEDERAL EMPLOYMENT, AND CONTINUATION SHEET
3206-0010 REQUEST FOR USE OF AUDITORIUM AND EXAMINATION FACILITIES
3206-0009 SUMMER EMPLOYMENT EXAMINATION - APPLICANT DATA SHEET
3206-0008 NOTICE OF SHORT-TERM EMPLOYMENT
3206-0007 Questionnaire for National Security Positions, Continuation Sheet for Questionnaires SF-86, SF-85P, and SF-85
3206-0006 Monthly Report of Federal Civilian Employment
3206-0005 Questionnaires for National Security Positions, Standard Form 86 (SF 86)
3206-0004 ANNUAL SURVEY OF SALARY AND WAGE DISTRIBUTION OF FEDERAL CIVILIAN EMPLOYEES
3206-0003 JOB QUALIFICATIONS STATEMENT, SF 173
3206-0002 AMENDMENT TO APPLICATION FOR FEDERAL EMPLOYMENT (SF 171)
3206-0001 Application for 10-Point Veteran Preference

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