Application for Deferred Retirement (Separations on or after October 1, 1956); OPM 1496A

OMB 3206-0121

OPM 1496A is used by eligible former Federal employees to apply for Civil Service annuity.

The latest form for Application for Deferred Retirement (Separations on or after October 1, 1956); OPM 1496A expires 2021-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form OPM 1496A_Revised Application for Deferred Retirement (Separations on or after October 1, 1956) Form and Instruction
Form OPM 1496A_Revised Application for Deferred Retirement (Separations on or after October 1, 1956) Form and Instruction
OPM1496A_Justification.docx Justification for No Material/Nonsubstantive Change
OPM1496A_Justification.docx Justification for No Material/Nonsubstantive Change
Application for Deferred Retirement (Separations on or after October 1, 1956) Form and Instruction
Application for Deferred Retirement (Separations on or after October 1, 1956) Form and Instruction

All Historical Document Collections

202212-3206-002 Improperly submitted and continue	No material or nonsubstantive change to a currently approved collection	2022-12-13
202106-3206-002 Approved with change	Revision of a currently approved collection	2021-06-29
201803-3206-004 Approved with change	Revision of a currently approved collection	2018-03-22
201412-3206-005 Approved without change	Revision of a currently approved collection	2015-01-26
201112-3206-002 Approved without change	Revision of a currently approved collection	2011-12-12
201012-3206-004 Approved without change	Revision of a currently approved collection	2011-01-04
200712-3206-002 Approved without change	Revision of a currently approved collection	2007-12-27
200409-3206-001 Approved without change	Revision of a currently approved collection	2004-09-24
200107-3206-004 Approved without change	Revision of a currently approved collection	2001-07-23
199805-3206-001 Approved without change	Extension without change of a currently approved collection	1998-05-05
199406-3206-009 Approved without change	Revision of a currently approved collection	1994-06-13
199205-3206-002 Approved with change	No material or nonsubstantive change to a currently approved collection	1992-05-14
199108-3206-011 Approved without change	Reinstatement with change of a previously approved collection	1991-08-22
198903-3206-010 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-03-07
198608-3206-006 Approved without change	Reinstatement with change of a previously approved collection	1986-08-25
198203-3206-001 Approved without change	New collection (Request for a new OMB Control Number)	1982-03-31