Submissioin for OMB Review; Comment Request for Reclearance of Revised Information Collections: OPM Forms 1496 and 1496A


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 is 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, or email to


Comments on this proposal should be received on or before August 23, 2001.


Send or deliver comments to—

Ronald W. Melton, Chief,Operations Support Division,Retirement and Insurance Service,U.S. Office of Personnel Management, 1900 E Street, NW., Room 3349,Washington, DC 20415-3540


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:

Donna G. Lease, Team Leader,Forms Analysis and Design,Budget Administrative Services Division,(202) 606-0623.

U.S. Office of Personnel Management.

Steven R. Cohen,

Acting Director.

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