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)

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)

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Information Collection (IC) Details

IC Title:	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)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	BRI 46-437				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,000	4,000
Annual IC Time Burden (Hours)	1,340	1,340
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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