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View ICR - OIRA Conclusion

OMB Control No: 3206-0143	ICR Reference No: 199406-3206-004
Status: Historical Active	Previous ICR Reference No: 199108-3206-007
Agency/Subagency: OPM	Agency Tracking No:
Title: REQUEST TO DISABILITY ANNUITANT FOR INFORMATION ON PHYSICAL CONDITION AND EMPLOYMENT
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/30/1994
	Date Received in OIRA: 06/16/1994
Terms of Clearance: For OPM's consideration, OMB has provided under seperate cover a number of minor suggestions for changes to increase clarity. OPM should provide to OMB a new version of thios form indicating those changes it has adopted.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/1997	07/31/1997	08/31/1994
Responses	8,000	0	8,000
Time Burden (Hours)	8,000	0	8,000
Cost Burden (Dollars)	0	0	0

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