Information Collection

Application for Deferred or Postponed Retirement (FERS)

IC 33671 under ICR 201102-3206-002 · OMB 3206-0190.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0190 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form RI 92-19 Application for Deferred or Postponed Retirement Application for Deferred or Postponed Retirement (FERS)	Form and Instruction
RI 92-19 Application for Deferred or Postponed Retirement RI92-019_June2008.pdf	Form and Instruction
RI 92-19A_December2008.pdf RI 92-19A_December 2008	IC Document

IC Title:

Application for Deferred or Postponed Retirement (FERS)

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 Chapter 1 842.204 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	RI 92-19				No		Fillable Printable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title: OPM/Central-1

FR Citation: 73 FR 15013

Number of Respondents: 1,964

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,964	271	1,693
Annual IC Time Burden (Hours)	1,964	271	1,693
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
RI 92-19A_December 2008		02/22/2011

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

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