View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 3206-0172	ICR Reference No: 199103-3206-001
Status: Historical Active	Previous ICR Reference No: 199006-3206-006
Agency/Subagency: OPM	Agency Tracking No:
Title: APPLICATION FOR DEATH BENEFITS (FERS)
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: 06/07/1991
	Date Received in OIRA: 03/12/1991
Terms of Clearance: This request, as amended by the additional changes provided to OMB by Joseph Parker and dated 5/29/91, is approved. The changed language submitted 6/3/91 dealing with the award of Social Security benefits will not be used. Use of the language of the 5/29 submission is mutually agreeable to OMB and OPM.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/1994	06/30/1994	07/31/1993
Responses	3,926	0	1,560
Time Burden (Hours)	3,926	0	780
Cost Burden (Dollars)	0	0	0

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