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View ICR - OIRA Conclusion

OMB Control No: 3206-0233	ICR Reference No: 199804-3206-006
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: OPM	Agency Tracking No:
Title: Civil Service Retirement System Survivor Annuitant Express Pay Application for Death Benefits
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/15/1998
	Date Received in OIRA: 04/24/1998
Terms of Clearance: OPM should consider how to reformat this form to provide for more space in the Address/Telephone Number area. The form appears to severely limit the ability of the respondent to provide the information within the space provided.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2001	06/30/2001
Responses	22,000	0	0
Time Burden (Hours)	11,000	0	0
Cost Burden (Dollars)	0	0	0

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