Application for Refund of Retirement Deductions/Federal Employees Retirement System (SF 3106) Current/Former Spouse's Notification of Application for Refund of Retirement Deductions Under the....

SF 3106, Application for Refund of Retirement Deductions (FERS); SF 3106A, Current/Former Spouse's Notification of Application for Refund of Retirement Deductions Under the....

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form SF-3106, SF 310A Application for Refund of Retirement Deductions/Federal Employees Retirement System (SF 3106) Current/Former Spouse's Notification of Application for Refund of Retirement Deductions Under the.... Form and Instruction
SF-3106, SF 310A Application for Refund of Retirement Deductions (FERS)/C SF3106(06-05).pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Application for Refund of Retirement Deductions/Federal Employees Retirement System (SF 3106) Current/Former Spouse's Notification of Application for Refund of Retirement Deductions Under the....	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 843 5 CFR 842

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SF-3106, SF 310A	Application for Refund of Retirement Deductions (FERS)/Current/Former Spouse(s) Notification of Refund of Retirement Deductions Under FERS	SF3106(06-05).pdf		No		Fillable Printable

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records
Title: OPM/Central-1	FR Citation: 65 FR 25775

Number of Respondents: 30,600	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	30,600	30,600
Annual IC Time Burden (Hours)	9,633	9,633
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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