OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 201803-3206-004 · OMB 3206-0121 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form OPM 1496A Application for Deferred Retirement (Separations on or after October 1, 1956) Form and Instruction Modified Available
FACES 2017 FINAL 12212017signed.pdf Supplementary Document Uploaded 2018-03-20 Available
ARS PIA Final 12212017signed.pdf Supplementary Document Uploaded 2018-03-20 Available
OPM 1496A Regulations.pdf Supplementary Document Uploaded 2018-03-20 Available
OPM1496A_60DayFRNPublished_2017_11_03.pdf Supplementary Document Uploaded 2018-03-20 Available
OPM1496A_30DayFRN_Published_2018_03_20.pdf Supplementary Document Uploaded 2018-03-20 Available
OPM1496A_OMBSupportingStatement_2018_05_30.docx Supporting Statement A Uploaded 2018-05-30 Available
IC Document Collections
IC IDCollectionTypeStatusForm
33585 Application for Deferred Retirement (Separations on or after October 1, 1956) Form and Instruction Modified
ICR Details
3206-0121 201803-3206-004
Active 201412-3206-005
OPM OPM 1496A
Application for Deferred Retirement (Separations on or after October 1, 1956)
Revision of a currently approved collection   No
Regular
Approved with change 06/04/2018
Retrieve Notice of Action (NOA) 03/22/2018
This collection is approved based on the revised materials provided by the Agency. Before this collection is next reviewed by OMB, OPM should consider if this should be a common form as it appears this information collection is used government-wide for the same purpose.
  Inventory as of this Action Requested Previously Approved
06/30/2021 36 Months From Approved 06/30/2018
2,800 0 2,800
2,800 0 2,800
0 0 0
OPM 1496A is used by eligible former Federal employees to apply for Civil Service annuity.
US Code: 5 USC 8338 Name of Law: Deferred Retirement
   US Code: 5 USC 83 Name of Law: Civil Service Retirement
  
None
Not associated with rulemaking
  82 FR 51306 11/03/2017
83 FR 12208 03/20/2018
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 2,800 2,800 0 0 0 0
Annual Time Burden (Hours) 2,800 2,800 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$323,000
No
    Yes
    Yes
No
No
No
Uncollected
Charles Conyers 202 606-0125 [email protected]
  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.
03/22/2018