Report of Medical Examination of Person Electing Survivor Benefits Under the Civil Service Retirement System

ICR 202402-3206-005

OMB: 3206-0162

Federal Form Document

Forms and Documents

Document Name	Status
Form OPM 1530 Report of Medical Examination of Person Electing Survivor Benefits Under the Civil Service Retirement System Form and Instruction	Modified
OPM1530_OMBSupportStmt_2023_12_06.docx Supporting Statement A	2024-02-28
E8-5659.pdf Supplementary Document	2024-02-28
OPM1530_30DayFRNPublished_2024_02_06_Final.pdf Supplementary Document	2024-02-28
OPM1530_60DayFRNPublished_2023_05_03.pdf Supplementary Document	2024-02-28

IC Document Collections

IC ID	Document Title	Status
33635	Report of Medical Examination of Person Electing Survivor Benefits Under the Civil Service Retirement System Form and Instruction	Modified