APPLICATION FOR REFUND OF RETIREMENT DEDUCTIONS

ICR 198609-3206-011

OMB: 3206-0128

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
176754 Migrated
ICR Details
3206-0128 198609-3206-011
Historical Active 198507-3206-006
OPM
APPLICATION FOR REFUND OF RETIREMENT DEDUCTIONS
No material or nonsubstantive change to a currently approved collection   No
Emergency 09/11/1986
Approved with change 09/11/1986
Retrieve Notice of Action (NOA) 09/11/1986
  Inventory as of this Action Requested Previously Approved
11/30/1986 11/30/1986
140,000 0 0
70,000 0 0
0 0 0

COMPLETED BY FORMER FEDERAL EMPLOYEES WHO HAVE SEPARATED FROM FEDERAL SERVICE AND ARE APPLYING FOR RETIREMENT DEDUCTIONS UNDER THE CIVIL SERVICE RETIREMENT SYSTEM.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR REFUND OF RETIREMENT DEDUCTIONS BRI-46-430, SF 2802, OPM FORM, 1425, (TEMP)

  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 140,000 0 0 0 140,000 0
Annual Time Burden (Hours) 70,000 0 0 0 70,000 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.
09/11/1986


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