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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
OMB.report
OPM
OMB 3206-0162
ICR 202402-3206-005
( )
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 3206-0162 can be found here:
2024-04-30 - Revision of a currently approved collection
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
ICR Details
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