Information Collection

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....

IC 33648 under ICR 202203-3206-010 · OMB 3206-0170.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SF 3106/3106A 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 3106/3106A Application for Refund of Retirement Deductions/Current SF3106_2021_09_MarkUp.pdf www.opm.gov	Form and Instruction
SF 3106/3106A Application for Refund of Retirement Deductions/Current SF3106_2021_09_MarkUp.pdf www.opm.gov	Form and Instruction
SF 3106/3106A Application for Refund of Retirement Deductions/Current SF3106_2018_02.pdf www.opm.gov	Form and Instruction
SF 3106/3106A Application for Refund of Retirement Deductions/Current SF3106_2018_02.pdf www.opm.gov	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

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: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 842 5 CFR 843

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	SF 3106/3106A	Application for Refund of Retirement Deductions/Current and Former Spouses Notification of...	SF3106_2021_09_MarkUp.pdf	www.opm.gov	Yes	No	Fillable Printable
Form and Instruction	SF 3106/3106A	Application for Refund of Retirement Deductions/Current and Former Spouses Notification of...	SF3106_2018_02.pdf	www.opm.gov	Yes	No	Fillable Printable

Federal Enterprise Architecture Business Reference Module

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: 14,400

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	Previously Approved
Annual Number of Responses for this IC	14,400	14,400
Annual IC Time Burden (Hours)	4,533	4,533
Annual IC Cost Burden (Dollars)	121,900	121,900

Documents for IC

table that charts IC Documents
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.