Application for refund of retirement deductions  Federal Employees Retirement System 
 Federal Employees Retirement System 
[U.S. Office of Personnel Management]. 
 - Rev. August 2011. 
 - [Washington, D.C.]  U.S. Office of Personnel Management  [2011] 
 - [8] p.  form  115 x 28 cm., folded to 23 x 28 cm. 
<br/><br/> Caption title.  "Previous editions are not usable"--P. [1].  Shipping list no.: 2011-0439-P.  "OMB Number 3206-0170"--P. [1].  "SF 3106"--P. [1]. 
<br/><br/><label>Subjects--Corporate Names: </label><br/>Federal Employees' Retirement System (U.S.)--Forms.<br/>United States Office of Personnel Management. --Forms.
<br/><br/><label>Subjects--Topical Terms: </label><br/>Individual retirement accounts--United States.--Forms.
<br/><br/><label>Subjects--Geographic Terms: </label><br/>United States--Officials and employees, Retired.--Forms.
<br/><br/><label>GPO Item No.: </label>0290-J-01 0290-J-01 (online) 
<br/><br/><label>Gov. Doc. Class. No.: </label>PM 1.53:3106/2011 
<br/><br/><label>Report. No.: </label>OMB Number 3206-0170