View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 3206-0144	ICR Reference No: 199606-3206-002
Status: Historical Active	Previous ICR Reference No: 199310-3206-002
Agency/Subagency: OPM	Agency Tracking No:
Title: We Need the Social Security Number of the Person Named Below
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: 07/29/1996
	Date Received in OIRA: 06/17/1996
Terms of Clearance: OMB is sending under seperate cover to Jim Farron suggestions for several minor editoral changes that OPM may wish to incorporate into the form. OPM may make these changes at its discretion if it agrees with them. OPM must change the form/instructions to be in full compliance with the requiements at 5 CFR 1320.8(b)(3) including the requiement that the legal significance of displaying a currently valid OMB control number be stated.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/1999	07/31/1999	08/31/1996
Responses	3,000	0	3,000
Time Burden (Hours)	250	0	250
Cost Burden (Dollars)	0	0	0

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