[Federal Register Volume 69, Number 173 (Wednesday, September 8, 2004)]
[Notices]
[Page 54327]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-20323]


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OFFICE OF PERSONNEL MANAGEMENT


Submission for OMB Review; Comment Request for Reclearance of a 
Revised Information Collection: OPM Forms 1496 and 1496A

AGENCY: Office of Personnel Management.

ACTION: Notice.

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SUMMARY: In accordance with the Paperwork Reduction Act of 1995 (Public 
Law 104-13, May 22, 1995), this notice announces that the Office of 
Personnel Management (OPM) has submitted to the Office of Management 
and Budget (OMB) a request for reclearance of a revised information 
collection. OPM Forms 1496 and 1496A, Application for Deferred 
Retirement (Separations before October 1, 1956) and Application for 
Deferred Retirement (Separations on or after October 1, 1956) are used 
by eligible former Federal employees to apply for a deferred Civil 
Service annuity. Two forms are needed because there was a major 
revision in the law effective October 1, 1956; this affects the general 
information provided with the forms.
    Approximately 3,000 OPM Forms 1496 and 1496A will be completed 
annually. We estimate it takes approximately 1 hour to complete both 
forms. The annual burden is 3,000 hours.
    For copies of this proposal, contact Mary Beth Smith-Toomey on 
(202) 606-8358, FAX (202) 418-3251 or via e-mail to [email protected]. 
Please include a mailing address with your request.

DATES: Comments on this proposal should be received within 30 calendar 
days from the date of this publication.

ADDRESSES: Send or deliver comments to--Ronald W. Melton, Deputy 
Assistant Director, Retirement Services Program, Center for Retirement 
and Insurance Services, U.S. Office of Personnel Management, 1900 E 
Street, NW., Room 3305, Washington, DC 20415-3540; and Joseph Lackey, 
OPM Desk Officer, Office of Information & Regulatory Affairs, Office of 
Management and Budget, New Executive Office Building, NW., Room 10235, 
Washington, DC 20503.
    For Information Regarding Administrative Coordination--Contact: 
Cyrus S. Benson, Team Leader, Publication Team, RIS Support Services/
Support Group, (202) 606-0623.

U.S. Office of Personnel Management.
Kay Coles James,
Director.
[FR Doc. 04-20323 Filed 9-7-04; 8:45 am]
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