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View ICR - OIRA Conclusion

OMB Control No: 3206-0172	ICR Reference No: 199006-3206-006
Status: Historical Active	Previous ICR Reference No: 198903-3206-013
Agency/Subagency: OPM	Agency Tracking No:
Title: APPLICATION FOR DEATH BENEFITS (FERS), SF 3104
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/20/1990
	Date Received in OIRA: 06/28/1990
Terms of Clearance: This request, as amended by the changed page submitted by Ron Trueworthy of OPM showing the burden disclosure notice, is approved. It is understood that the notice will be included in the next printing of the form.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/1993	07/31/1993	07/31/1990
Responses	1,560	0	1,560
Time Burden (Hours)	780	0	780
Cost Burden (Dollars)	0	0	0

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