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3206-0144 199303-3206-001
Historical Active 199006-3206-002
OPM
WE NEED THE SOCIAL SECURITY NUMBER OF THE PERSON NAMED ON THE BACK OF THIS FORM
Revision of a currently approved collection   No
Regular
Approved without change 06/02/1993
03/04/1993
OMB has given a limited term approval to this request during which time OPM is to consider several modifications suggested by OMB. During this period OPM may continue to use the current version of the form without making those changes indicated in its request.If OPM resubmits a request for approval of this form addressing the OMB suggested modifications prior to the end of 9/93, OMB waives the requirement for further public notification of this continuing review based upon OPM having published a notice in the Federal Registe during March 1993.
  Inventory as of this Action Requested Previously Approved
12/31/1993 12/31/1993 05/31/1993
3,000 0 3,000
250 0 250
0 0 0