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View ICR - OIRA Conclusion

OMB Control No: 3206-0162	ICR Reference No: 199409-3206-001
Status: Historical Active	Previous ICR Reference No: 199112-3206-004
Agency/Subagency: OPM	Agency Tracking No:
Title: REPORT OF MEDICAL EXAMINATION OF PERSON ELECTING SURVIVOR BENEFIT UNDER THE CIVIL SERVICE RETIREMENT SYSTEM
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: 12/23/1994
	Date Received in OIRA: 09/27/1994
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/1997	12/31/1997	12/31/1994
Responses	500	0	1,000
Time Burden (Hours)	750	0	1,500
Cost Burden (Dollars)	0	0	0

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