OMB control number
Application for Senior Administrative Law Judge & Geographic Preference Statement for Senior Administrative Law Judge
OMB 3206-0248 · OPM.
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 2027-10-31 and is listed under ICR 202409-3206-001.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form OPM 1655-A Geographic Preference Statement for Senior Administrative Law Judge Applicant | Form and Instruction |
| Form OPM 1655-A Geographic Preference Statement for Senior Administrative Law Judge Applicant | Form and Instruction |
| Form OPM Form 1655 Application for Senior Administrative Law Judge | Form and Instruction |
| Form OPM Form 1655 Application for Senior Administrative Law Judge | Form and Instruction |
 Supporting Statement A_3206-0248.docx | Supporting Statement A |
| 6 - Legal Citation(s).pdf | Supplementary Document |
| 6 - Legal Citation(s).pdf | Supplementary Document |
 Geographic Preference Statement for Senior Administrative Law Judge Applicant |
Form and Instruction |
| Geographic Preference Statement for Senior Administrative Law Judge Applicant |
Form and Instruction |
| Application for Senior Administrative Law Judge |
Form and Instruction |
| Application for Senior Administrative Law Judge |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202409-3206-001 | Revision of a currently approved collection | 2024-09-17 | ||
| 202106-3206-001 | Revision of a currently approved collection | 2021-09-09 | Approved with change | |
| 201805-3206-004 | Revision of a currently approved collection | 2018-06-06 | Approved with change | |
| 201410-3206-002 | Revision of a currently approved collection | 2014-10-30 | Approved without change | |
| 201108-3206-001 | Revision of a currently approved collection | 2011-08-16 | Approved without change | |
| 201101-3206-001 | Reinstatement without change of a previously approved collection | 2011-01-19 | Approved without change | |
| 200710-3206-001 | New collection (Request for a new OMB Control Number) | 2007-10-17 | Approved without change |
OMB Details
Application for Senior Administrative Law Judge
Federal Enterprise Architecture: General Government - Central Personnel
| Form | Name | Electronic access | Type |
|---|---|---|---|
| Form OPM Form 1655 | Application for Senior Administrative Law Judge | opm.gov | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.