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....

Application for Refund of Retirement Deductions (FERS)/Current-Former Spouse's Notification of Application for Refund of Retirement Deductions Under the....

Documents and Forms

Document Name Document Type
Form SF 3106/3106A 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.... Form and Instruction
SF 3106/3106A Application for Refund of Retirement Deductions/Current SF3106_2021_09_MarkUp.pdf www.opm.gov Form and Instruction
SF 3106/3106A Application for Refund of Retirement Deductions/Current SF3106_2021_09_MarkUp.pdf www.opm.gov Form and Instruction
SF 3106/3106A Application for Refund of Retirement Deductions/Current SF3106_2018_02.pdf www.opm.gov Form and Instruction
SF 3106/3106A Application for Refund of Retirement Deductions/Current SF3106_2018_02.pdf www.opm.gov Form and Instruction

Information Collection (IC) Details

IC 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....	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 842 5 CFR 843

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SF 3106/3106A	Application for Refund of Retirement Deductions/Current and Former Spouses Notification of...	SF3106_2021_09_MarkUp.pdf	www.opm.gov	Yes	No	Fillable Printable
Form and Instruction	SF 3106/3106A	Application for Refund of Retirement Deductions/Current and Former Spouses Notification of...	SF3106_2018_02.pdf	www.opm.gov	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records
Title: OPM/Central-1	FR Citation: 73 FR 15013

Number of Respondents: 14,400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	14,400	14,400
Annual IC Time Burden (Hours)	4,533	4,533
Annual IC Cost Burden (Dollars)	121,900	121,900

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.