| OMB Number | Title |
|---|
| 3206-0279 |
Personnel Vetting Questionnaire |
| 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 |
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 |