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3206-0162 198510-3206-003
Historical Active
OPM
REPORT OF MEDICAL EXAMINATION OF PERSON ELECTING SURVIVOR BENEFIT UNDER THE CIVIL SERVICE RETIREMENT SYSTEM
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 12/20/1985
10/23/1985
  Inventory as of this Action Requested Previously Approved
12/31/1988 12/31/1988
1,400 0 0
2,100 0 0
0 0 0