APPLICATION FOR RESTORATION OF SURVIVOR ANNUITY

ICR 198007-3206-001

OMB: 3206-0088

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
156807 Migrated
ICR Details
3206-0088 198007-3206-001
Historical Active 197810-3206-001
OPM
APPLICATION FOR RESTORATION OF SURVIVOR ANNUITY
Revision of a currently approved collection   No
Regular
Approved without change 07/02/1980
Retrieve Notice of Action (NOA) 07/02/1980
  Inventory as of this Action Requested Previously Approved
10/31/1982 10/31/1982 10/31/1980
600 0 4,000
150 0 1,000
0 0 0

P.L. 95-318 PROVIDES THAT THOSE WIDOWS AND WIDOWERS WHO LOST ENTITLEMENT TO CIVIL SERVICE RETIREMENT SYSTEM BENEFITS BECAUSE THEY REMARRIED BEFORE 7/18/66 ARE ENTITLED TO BE REINSTATED IF THEY MEET CERTAIN CONDITIONS. IF A WIDOW OR WIDOWER CONTACTS OPM, THIS FORM IS SENT TO THEM. WHEN OPM RECEIVES THESE FORMS, A DETERMINATION IS MADE AS TO WHETHER THEIR SURVIVOR ANNUITY SHOULD BE RESTORED.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR RESTORATION OF SURVIVOR ANNUITY BRI 46-360

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 600 4,000 0 0 -3,400 0
Annual Time Burden (Hours) 150 1,000 0 0 -850 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
07/02/1980


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