OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

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

OMB 3206-0162 · OPM.

OMB 3206-0162

OPM Form 1530 is designed to collect information from both the applicant and the applicant’s physician regarding the applicant’s health. This information is used to determine whether the insurable interest survivor benefits election can be allowed.

The latest form for Report of Medical Examination of Person Electing Survivor Benefits Under the Civil Service Retirement System expires 2026-07-31 and is listed under ICR 202404-3206-007.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form OPM 1530 Report of Medical Examination of Person Electing Survivor Benefits under the Civil Service Retirement SystemForm and Instruction
OPM1530_OMBSupportingStatement_2026_.docxSupporting Statement A
E8-5659.pdfSupplementary Document
Report of Medical Examination of Person Electing Survivor Benefits Under the Civil Service Retirement System Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202607-3206-006 Extension without change of a currently approved collection 2026-07-23
202404-3206-007 Revision of a currently approved collection 2024-04-30 Approved without change
202402-3206-005 Revision of a currently approved collection 2024-02-28 Improperly submitted and continue
202009-3206-002 Revision of a currently approved collection 2020-09-30
201703-3206-003 Reinstatement with change of a previously approved collection 2017-05-15 Approved without change
201402-3206-006 Extension without change of a currently approved collection 2014-02-25 Approved without change
201011-3206-006 Revision of a currently approved collection 2010-11-30 Approved without change
200712-3206-005 Extension without change of a currently approved collection 2007-12-27 Approved without change
200411-3206-001 Revision of a currently approved collection 2004-11-22 Approved without change
200107-3206-002 Revision of a currently approved collection 2001-07-13 Approved without change
199804-3206-008 Extension without change of a currently approved collection 1998-04-24 Approved without change
199409-3206-001 Revision of a currently approved collection 1994-09-27 Approved without change
199112-3206-004 Revision of a currently approved collection 1991-12-24 Approved without change
198811-3206-003 Revision of a currently approved collection 1988-11-29 Approved without change
198510-3206-003 New collection (Request for a new OMB Control Number) 1985-10-23 Approved without change