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

Application for Deferred Retirement (Separations on or after October 1, 1956); OPM 1496A

⚠️ Notice: This information collection may be referencing outdated material.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 You May Be Eligible for Deferred Retirement OPM1496A_2018_06.pdf www.opm.gov Form and Instruction
OPM 1496A You May Be Eligible for Deferred Retirement OPM1496A_2018_06.pdf www.opm.gov Form and Instruction

Information Collection (IC) Details

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: Required to Obtain or Retain Benefits

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	You May Be Eligible for Deferred Retirement	OPM1496A_2018_06.pdf	www.opm.gov	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records
Title: OPM/Central-1	FR Citation: 73 FR 15013

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	0	2,800
Annual IC Time Burden (Hours)	2,800	0	2,800
Annual IC Cost Burden (Dollars)	75,250	75,250	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.