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Federal forms, ICRs, and supporting documents

Information Collection Request

ADDENDUM TO OPM FORM 1496A, APPLICATION FOR DEFERRED ANNUITY (FOR PERSONS SEPARATED ON OR AFTER OCTOBER 1, 1956), RI FORM 20-56 (FORMERLY BRI 46-437)

ICR 198611-3206-001 · OMB 3206-0161 · Historical Active

Forms and Documents
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IC Document Collections
IC IDCollectionTypeStatusForm
156994 ADDENDUM TO OPM FORM 1496A, APPLICATION FOR DEFERRED ANNUITY (FOR PERSONS SEPARATED ON OR AFTER OCTOBER 1, 1956), RI FORM 20-56 (FORMERLY BRI 46-437) Form Migrated
ICR Details
3206-0161 198611-3206-001
Historical Active 198509-3206-001
OPM
ADDENDUM TO OPM FORM 1496A, APPLICATION FOR DEFERRED ANNUITY (FOR PERSONS SEPARATED ON OR AFTER OCTOBER 1, 1956), RI FORM 20-56 (FORMERLY BRI 46-437)
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 12/23/1986
Retrieve Notice of Action (NOA) 11/14/1986
Upon expiration of this approval, OPM should submit OPM Form 1496B for approval.
  Inventory as of this Action Requested Previously Approved
12/31/1987 12/31/1987
4,000 0 0
1,340 0 0
0 0 0
THE ADDENDUM COLLECTS INFORMATION REGARDING EX-SPOUSES ELIGIBILITY FOR SURVIVOR BENEFITS IN CASES OF DEFERRED RETIREMENTS UNDER THE CIVIL SERVICE RETIREMENT SYSTEM. THE FORM WILL BE USED ONLY UNTIL OPM FORM 1456-B, APPLICATION FOR DEFERRED RETIREMENT FOR ANNUITIES COMMENCING ON OF AFTER MAY 7, 1986, IS AVAILABLE FOR USE.
None
None
No
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 4,000 0 0 4,000 0 0
Annual Time Burden (Hours) 1,340 0 0 1,340 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
11/14/1986