Application For Deferred Annuity - Separation Before September 30, 1956 - Application For Deferred Annuity Separation On Or After September 30, 1956

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

OMB: 3206-0121

IC ID: 176748

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APPLICATION FOR DEFERRED ANNUITY - SEPARATION BEFORE SEPTEMBER 30, 1956 - APPLICATION FOR DEFERRED ANNUITY SEPARATION ON OR AFTER SEPTEMBER 30, 1956
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form FORM 1496 No No
Form 1496A No No


    

4,400 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 3,000 0 -1,400 0 0 4,400
Annual IC Time Burden (Hours) 1,500 0 -700 0 0 2,200
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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