Application for Deferred or Postponed Retirement (FERS)

ICR 200403-3206-003

OMB: 3206-0190

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
33671 Migrated
ICR Details
3206-0190 200403-3206-003
Historical Active 200007-3206-003
OPM
Application for Deferred or Postponed Retirement (FERS)
Revision of a currently approved collection   No
Regular
Approved without change 08/02/2004
Retrieve Notice of Action (NOA) 03/26/2004
  Inventory as of this Action Requested Previously Approved
08/31/2007 08/31/2007 07/31/2004
1,539 0 1,272
1,539 0 1,272
0 0 0

The Application for Deferred or Postponed Retirement (FERS) (RI 92-19) will be used by separated employees to apply for either a deferred or postponed FERS annuity benefit.

None
None


No

1
IC Title Form No. Form Name
Application for Deferred or Postponed Retirement (FERS) RI-92-19

  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 1,539 1,272 0 0 267 0
Annual Time Burden (Hours) 1,539 1,272 0 0 267 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.
03/26/2004


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