View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 3206-0162	ICR Reference No: 200411-3206-001
Status: Historical Active	Previous ICR Reference No: 200107-3206-002
Agency/Subagency: OPM	Agency Tracking No:
Title: Report of Medical Examination of Person Electing Survivor Benefits Under the Civil Service Retirement System
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: 01/28/2005
	Date Received in OIRA: 11/22/2004
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2008	01/31/2008	01/31/2005
Responses	500	0	500
Time Burden (Hours)	750	0	750
Cost Burden (Dollars)	0	0	0

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