APPLICATION FOR DEFERRED RETIREMENT (SEPARATIONS BEFORE OCT. 1, 1956), AND APPLICATION FOR DEFERRED RETIREMENT (SEPARATIONS ON OR AFTER OCT. 1, 1956)

ICR 199108-3206-011

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 199108-3206-011
Historical Active 198903-3206-010
OPM
APPLICATION FOR DEFERRED RETIREMENT (SEPARATIONS BEFORE OCT. 1, 1956), AND APPLICATION FOR DEFERRED RETIREMENT (SEPARATIONS ON OR AFTER OCT. 1, 1956)
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 11/25/1991
Retrieve Notice of Action (NOA) 08/22/1991
  Inventory as of this Action Requested Previously Approved
08/31/1994 08/31/1994
3,000 0 0
3,000 0 0
0 0 0

OPM FORMS 1496 AND 1496A ARE USED BY ELIGIBLE FORMER FEDERAL EMPLOYEES TO APPLY FOR CIVIL SERVICE ANNUITY. TWO FORMS ARE NEEDED BECAUSE THER IS A MAJOR REVISION IN THE LAW, EFFECTIVE OCT. 1, 1956. THIS AFFECTS THE GENERAL INFORMATION PROVIDED WITH THE FORMS.

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 3,000 0 0 0 3,000 0
Annual Time Burden (Hours) 3,000 0 0 0 3,000 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.
08/22/1991


© 2024 OMB.report | Privacy Policy