Information Collection

Application For Refund Of Retirement Deductions (fers), And Current/former Spouse's Notification Of Application For Refund Of Retirement Deductions

IC 157021 under ICR 199108-3206-008 · OMB 3206-0170.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0170 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	APPLICATION FOR REFUND OF RETIREMENT DEDUCTIONS (FERS), AND CURRENT/FORMER SPOUSE'S NOTIFICATION OF APPLICATION FOR REFUND OF RETIREMENT DEDUCTIONS	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	SF 3106				No	No
Form	SF 3106A				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 81,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	81,000	6,000	75,000
Annual IC Time Burden (Hours)	40,500	3,000	37,500
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.