Application for Deferred Retirement (Separations on or after October 1, 1956)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0121 can be found here:

Documents and Forms

Document Name Document Type
Form OPM 1496A Application for Deferred Retirement (Separations on or after October 1, 1956) Form and Instruction
OPM 1496A Application for Deferred Retirement (Separation on or af OPM1496A.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Deferred Retirement (Separations on or after October 1, 1956)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 831.501

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	OPM 1496A	Application for Deferred Retirement (Separation on or after October 1, 1956)	OPM1496A.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Central Personnel

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

Number of Respondents: 2,800	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,800	-200	3,000
Annual IC Time Burden (Hours)	2,800	-200	3,000
Annual IC Cost Burden (Dollars)	0	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.