Information Collection Request
Report of Medical Examination of Person Electing Survivor Benefits Under the Civil Service Retirement System
ICR 202402-3206-005 · OMB 3206-0162 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 3206-0162 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form OPM 1530 Report of Medical Examination of Person Electing Survivor Benefits Under the Civil Service Retirement System |
Form and Instruction | Modified | Missing upstream |
 OPM1530_OMBSupportStmt_2023_12_06.docx |
Supporting Statement A | Uploaded 2024-02-28 | Repair queued |
 E8-5659.pdf |
Supplementary Document | Uploaded 2024-02-28 | Repair queued |
| OPM1530_30DayFRNPublished_2024_02_06_Final.pdf |
Supplementary Document | Uploaded 2024-02-28 | Missing upstream |
| OPM1530_60DayFRNPublished_2023_05_03.pdf |
Supplementary Document | Uploaded 2024-02-28 | Missing upstream |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 33635 |  Report of Medical Examination of Person Electing Survivor Benefits Under the Civil Service Retirement System |
Form and Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | OPM |
| OMB Control No | 3206-0162 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202009-3206-002 |
| Agency Tracking No | OPM 1530 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |