Information Collection

Application for Deferred or Postponed Retirement (FERS)

IC 33671 under ICR 201401-3206-006 · OMB 3206-0190.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0190 can be found here:

Documents and Forms

Document Name Document Type
Form RI 92-19 Application for Deferred or Postponed Retirement (FERS) Form and Instruction
RI 92-19 Application for Deferred or Postponed Retirement (FERS) RI92-019_May2012 508.pdf Form and Instruction
RI 92-19A May 2012 508.pdf RI 92-19A IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Deferred or Postponed Retirement (FERS)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR Chapter 1 842.204 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	RI 92-19	Application for Deferred or Postponed Retirement (FERS)	RI92-019_May2012 508.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title: OPM/Central-1	FR Citation: 73 FR 15013

Number of Respondents: 1,964	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,964	1,964
Annual IC Time Burden (Hours)	1,964	1,964
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
RI 92-19A	RI 92-19A May 2012 508.pdf	01/27/2014

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.