OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

APPLICATION FOR DEFERRED RETIREMENT (SEPARATIONS BEFORE OCT. 1, 1956), AND APPLICATION FOR DEFERRED RETIREMENT (SEPARATIONS ON OR AFTER OCT. 1, 1956)

ICR 199205-3206-002 · OMB 3206-0121 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
176749 APPLICATION FOR DEFERRED RETIREMENT (SEPARATIONS BEFORE OCT. 1, 1956), AND APPLICATION FOR DEFERRED RETIREMENT (SEPARATIONS ON OR AFTER OCT. 1, 1956) Form Migrated
ICR Details
3206-0121 199205-3206-002
Historical Active 199108-3206-011
OPM
APPLICATION FOR DEFERRED RETIREMENT (SEPARATIONS BEFORE OCT. 1, 1956), AND APPLICATION FOR DEFERRED RETIREMENT (SEPARATIONS ON OR AFTER OCT. 1, 1956)
No material or nonsubstantive change to a currently approved collection   No
Emergency 05/14/1992
Approved with change 05/14/1992
Retrieve Notice of Action (NOA) 05/14/1992
  Inventory as of this Action Requested Previously Approved
08/31/1994 08/31/1994 08/31/1994
3,000 0 3,000
3,000 0 3,000
0 0 0
OPM FORMS 1496 AND 1496A ARE USED BY ELIGIBLE FORMER FEDERAL EMPLOYEES TO APPLY FOR CIVIL SERVICE ANNUITY. TWO FORMS ARE NEEDED BECAUSE THER IS A MAJOR REVISION IN THE LAW, EFFECTIVE OCT. 1, 1956. THIS AFFECTS THE GENERAL INFORMATION PROVIDED WITH THE FORMS.
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 3,000 3,000 0 0 0 0
Annual Time Burden (Hours) 3,000 3,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
05/14/1992