OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Application for Deferred Retirement (Separations before October 1, 1956) -- Application for Deferred Retirement (Separations on or after October 1, 1956)

ICR 200107-3206-004 · 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
33584 Application for Deferred Retirement (Separations before October 1, 1956) -- Application for Deferred Retirement (Separations on or after October 1, 1956) Form Migrated
ICR Details
3206-0121 200107-3206-004
Historical Active 199805-3206-001
OPM
Application for Deferred Retirement (Separations before October 1, 1956) -- Application for Deferred Retirement (Separations on or after October 1, 1956)
Revision of a currently approved collection   No
Regular
Approved without change 09/14/2001
Retrieve Notice of Action (NOA) 07/23/2001
  Inventory as of this Action Requested Previously Approved
12/31/2004 12/31/2004 09/30/2001
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 form are needed because there is a major revision in the law effective October 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.
07/23/2001