OPM will submit
revised form before October 1985 expiration date.
Inventory as of this Action
Requested
Previously Approved
10/31/1985
10/31/1985
10/31/1984
2,400
0
2,400
600
0
600
0
0
0
THIS FORM ALLOWS CIVIL SERVICE
ANNUITANTS TO APPLY FOR THE "MINIMUM ANNUITY" UNDER PUBLIC LAW
93-273. THIS FORM REQUESTS THE INFORMATION NECESSARY FOR
DETERMINING THE ELIGIBILITY OF THE ANNUITANTS AND FOR VERIFICATION
OF THAT INFORMATION WITH OTHER FEDERAL AGENCIES FORM WHICH THEY MAY
BE ENTITLED TO RECEIVE ANNUITY OR RETIRED PAY.
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.