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3206-0162 200107-3206-002
Historical Active 199804-3206-008
OPM
Report of Medical Examination of Person Electing Survivor Benefits Under the Civil Service Retirement System
Revision of a currently approved collection   No
Regular
Approved without change 10/05/2001
07/13/2001
  Inventory as of this Action Requested Previously Approved
10/31/2004 10/31/2004 10/31/2001
500 0 500
750 0 750
0 0 0