Application for Senior Administrative Law Judge & Geographic Preference Statement for Senior Administrative Law Judge

OMB 3206-0248

OPM 1655 and OPM 1655A will be used by retired Administrative Law Judges seeking reemployment to complete hearings in accordance with the Administrative Procedures Act of 1946. These forms streamline the application process by providing all needed information on 2 forms. The forms have changed to only to include updated regional selections.

The latest form for Application for Senior Administrative Law Judge & Geographic Preference Statement for Senior Administrative Law Judge expires 2021-09-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form OPM 1655A Geographic Preference Statement for Senior Administrative Law Judge Applicant Form and Instruction
Form OPM 1655 Application for Senior Administrative Law Judge Form and Instruction
3206-0248 30 Day.pdf Supplementary Document
Supporting Statement A -3206-0248 - 6-21-21.pdf Supporting Statement A
60 day 0248.pdf Supplementary Document
6 - Legal Citation(s).pdf Supplementary Document
Geographic Preference Statement for Senior Administrative Law Judge Applicant Form and Instruction
Application for Senior Administrative Law Judge Form and Instruction

All Historical Document Collections

202106-3206-001 Approved with change	Revision of a currently approved collection	2021-09-09
201805-3206-004 Approved with change	Revision of a currently approved collection	2018-06-06
201410-3206-002 Approved without change	Revision of a currently approved collection	2014-10-30
201108-3206-001 Approved without change	Revision of a currently approved collection	2011-08-16
201101-3206-001 Approved without change	Reinstatement without change of a previously approved collection	2011-01-19
200710-3206-001 Approved without change	New collection (Request for a new OMB Control Number)	2007-10-17

OMB Details

Application for Senior Administrative Law Judge

Federal Enterprise Architecture: General Government - Central Personnel

Form OPM 1655	Application for Senior Administrative Law Judge	Fillable Printable	Form and instruction
Form OPM 1655 w/changes	OPM 1655 w/changes	Fillable Printable	Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.