APPLICATION FOR DEFERRED ANNUITY - SEPARATION BEFORE SEPTEMBER 30, 1956 - APPLICATION FOR DEFERRED ANNUITY SEPARATION ON OR AFTER SEPTEMBER 30, 1956

ICR 198608-3206-006

OMB: 3206-0121

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
3206-0121 198608-3206-006
Historical Active 198203-3206-001
OPM
APPLICATION FOR DEFERRED ANNUITY - SEPARATION BEFORE SEPTEMBER 30, 1956 - APPLICATION FOR DEFERRED ANNUITY SEPARATION ON OR AFTER SEPTEMBER 30, 1956
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 10/17/1986
Retrieve Notice of Action (NOA) 08/25/1986
  Inventory as of this Action Requested Previously Approved
10/31/1989 10/31/1989
4,400 0 0
2,200 0 0
0 0 0

THESE FORMS ARE COMPLETED BY FORMER FEDERAL EMPLOYEES AFTER REACHING AGE 62 WHEN APPLYING FOR DEFERRED ANNUITIES UNDER THE CIVIL SERVICE RETIREMENT SYSTEM. TWO FORMS ARE USED BECAUSE CERTAIN EMPLOYEES ARE N ELIGIBLE TO ELECT SURVIVOR ANNUITIES UNDER THE LAW.

None
None


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 4,400 0 0 0 4,400 0
Annual Time Burden (Hours) 2,200 0 0 0 2,200 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
08/25/1986


© 2024 OMB.report | Privacy Policy