OMB control number
We Need Important Information About Your Eligibility for Social Security Disability Benefits
OMB 3206-0216 · OPM.
OMB 3206-0216
The information provided by the annuitant is used by OPM to verify receipt of SSA disability benefits, make necessary adjustments to the FERS disability benefit, and notify the annuitant of any overpayment payable to OPM. It also notifies the annuitant of the responsibility to notify OPM if SSA benefits begin and the consequences of non-notification. The Privacy Act Statement has been revised due to a review by our Chief Privacy Officer.
The latest form for We Need Important Information About Your Eligibility for Social Security Disability Benefits expires 2023-11-30 and is listed under ICR 202010-3206-010.
Latest Forms, Documents, and Supporting Material
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| Supporting Statement A | |
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