APPLICATION FOR ANNUITY UNDER THE RETIRED SERVICEMAN'S FAMILY PROTECTION PLAN (RSFPP) AND/OR SURVIVOR BENEFIT PLAN (SBP)

ICR 198509-0701-004

OMB: 0701-0073

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0701-0073 198509-0701-004
Historical Active 198312-0701-001
DOD/AF
APPLICATION FOR ANNUITY UNDER THE RETIRED SERVICEMAN'S FAMILY PROTECTION PLAN (RSFPP) AND/OR SURVIVOR BENEFIT PLAN (SBP)
No material or nonsubstantive change to a currently approved collection   No
Emergency 09/30/1985
Approved with change 09/30/1985
Retrieve Notice of Action (NOA) 09/30/1985
  Inventory as of this Action Requested Previously Approved
08/31/1986 08/31/1986 08/31/1986
4,290 0 4,200
715 0 700
0 0 0

SERVICEMAN'S FAMILY PROTECTION PLAN (RSFPP) AND/OR SURVIVOR BENEFIT PLAN (SBP). THE AIR FORCE ACCOUNTING AND FINANCE CENTER (AFAFC), SURVIVOR BENEFIT DIVISION MUST RECEIVE AN APPLICATION FOR SURVIVOR ANNUITY. THE APPLICATION IS NEEDED TO VALIDATE ENETITLEMENT TO A SURVIVOR ANNUITY, ESTABLISH CURRENT STATUS OF BENEFICIARIES OF A SURVIVOR ANNUITY, DETERMINE THE TYPE AND AMOUNT OF ANNUITY TO BE PAID, AND ESTABLISH ANNUITY ACCOUNT.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR ANNUITY UNDER THE RETIRED SERVICEMAN'S FAMILY PROTECTION PLAN (RSFPP) AND/OR SURVIVOR BENEFIT PLAN (SBP)

  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 4,290 4,200 0 90 0 0
Annual Time Burden (Hours) 715 700 0 15 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
09/30/1985


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