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....

OMB: 3206-0170

IC ID: 33648

Information Collection (IC) Details

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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....
 
No Unchanged
 
Required to Obtain or Retain Benefits
 
5 CFR 842 5 CFR 843

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SF 3106/SF 3106A Application for Refund of Retirement Deductions/Current/Former Spouse's Notification of Application for Refund of Retirement Deductions SF3106_September2013.pdf Yes No Fillable Printable

General Government Central Personnel

OPM/Central-1  73 FR 15013

14,400 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 14,400 0 0 0 0 14,400
Annual IC Time Burden (Hours) 4,533 0 0 0 0 4,533
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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