OMB control number

Application For Immediate Or Prospective Survivor Annuity Benefits

OMB 3206-0159 · OPM.

OMB 3206-0159

Latest Forms, Documents, and Supporting Material

Document Name
APPLICATION FOR IMMEDIATE OR PROSPECTIVE SURVIVOR ANNUITY BENEFITS Form

All Historical Document Collections

198510-3206-001 Approved without change	Extension without change of a currently approved collection	1985-10-23
198507-3206-001 Approved without change	New collection (Request for a new OMB Control Number)	1985-07-17