Designation Of Change Of Beneficiary For Residual Lump Sum

DESIGNATION OF CHANGE OF BENEFICIARY FOR RESIDUAL LUMP SUM

OMB: 3220-0004

IC ID: 176843

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DESIGNATION OF CHANGE OF BENEFICIARY FOR RESIDUAL LUMP SUM
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form AA-11A No No


    

3,000 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 3,000 0 0 0 0 3,000
Annual IC Time Burden (Hours) 500 0 0 0 0 500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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