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: 3206-0128	ICR Reference No: 201607-3206-004
Status: Historical Active	Previous ICR Reference No: 201307-3206-003
Agency/Subagency: OPM	Agency Tracking No:
Title: Application for Refund of Retirement Deductions (CSRS) Current/Former Spouse's Notification of Application for Refund
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/12/2016
	Date Received in OIRA: 07/20/2016
Terms of Clearance: This collection is approved for a year only. When OPM resubmits this collection, OPM must provide a copy of the applicable SORN and PIA as well as determine if the Privacy Act statement needs to be rewritten to better describe the routine uses of the information.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2017	36 Months From Approved	12/31/2016
Responses	7,130	0	7,130
Time Burden (Hours)	4,588	0	4,588
Cost Burden (Dollars)	0	0	0

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