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3206-0228 200008-3206-005
Historical Active 199612-3206-004
OPM
CSRS/FERS Documentation in Support of Disability Retirement Application
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 12/18/2000
08/18/2000
OPM should review the Privacy Act statement used with this form to ensure that it is correct and consistent with the Privacy Statement used on other OPM forms.
  Inventory as of this Action Requested Previously Approved
12/31/2003 12/31/2003
12,775 0 0
12,775 0 0
0 0 0