View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 3206-0172	ICR Reference No: 198704-3206-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: OPM	Agency Tracking No:
Title: APPLICATION FOR DEATH BENEFITS (FERS), SF 3104
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/08/1987
	Date Received in OIRA: 04/06/1987
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/1987	07/31/1987
Responses	1,000	0	0
Time Burden (Hours)	500	0	0
Cost Burden (Dollars)	0	0	0

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