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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.


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3206-0172 199507-3206-003
Historical Active 199406-3206-010
OPM
Application for Death Benefits/Federal Employees Retirement System Documentation and Elections in Support of Application for Death Benefits When Deceased was an Employee at the Time of Death
Revision of a currently approved collection   No
Regular
Approved without change 09/28/1995
07/20/1995
  Inventory as of this Action Requested Previously Approved
09/30/1998 09/30/1998 06/30/1997
6,974 0 0
6,974 0 6,312
0 0 0