Application for Refund of Retirement Deductions (CSRS)

ICR 199606-3206-001

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
33586 Migrated
ICR Details
3206-0128 199606-3206-001
Historical Active 199508-3206-002
OPM
Application for Refund of Retirement Deductions (CSRS)
Revision of a currently approved collection   No
Regular
Approved without change 07/29/1996
Retrieve Notice of Action (NOA) 06/04/1996
This request is approved for a limited period of time. OMB's approval is conditioned upon OPM making modifications to the forms/instructions so that it is in full compliance with the requirements of 5 CFR 1320.8(b)(3). Information requested in Form RI36-7 duplicates that collected in Form 2802. Prior to its next request for OMB approval, OPM should consider eliminating Form RI36-7 or modifying its insstructions to state the reason this information is being requested.
  Inventory as of this Action Requested Previously Approved
11/30/1997 11/30/1997 09/30/1996
87,550 0 87,550
37,633 0 37,633
0 0 0

OPM must have SF 2802 completely filled out and signed before paying a refund of retirement contributions. SF 2802B must also be complete if there are spouse(s) or former spouse(s) who must be notified of the employee's intent to take a refund. RI 36-7 is needed when the SF 2802 is incomplete as to the applicant's martial status.

None
None


No

1
IC Title Form No. Form Name
Application for Refund of Retirement Deductions (CSRS) 2802, 2802B, 36-7

  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 87,550 87,550 0 0 0 0
Annual Time Burden (Hours) 37,633 37,633 0 0 0 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.
06/04/1996


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