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: 3206-0170	ICR Reference No: 200203-3206-002
Status: Historical Active	Previous ICR Reference No: 199810-3206-002
Agency/Subagency: OPM	Agency Tracking No:
Title: Application for Refund of REtirement Deductions/Federal Employees Retirement System (SF 3106) Current/Former Spouse's Notification of Application for Refund of Retirement Deductions Under the....
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/21/2002
	Date Received in OIRA: 03/19/2002
Terms of Clearance: OMB requests that OPM examine the usefulness of collecting information on Form RI 95-4 relating to maritial status. Items 13 and 14 on Form SF-3106/A ask for that information.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2005	05/31/2005	05/31/2002
Responses	30,600	0	30,825
Time Burden (Hours)	9,633	0	9,076
Cost Burden (Dollars)	0	0	0

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