THIS FORM IS USED BY THE CIVIL SERVICE
RETIREMENT SYSTEM TO DETERMINE THE CONTINUED ELIGIBILITY OF
UNMARRIED DEPENDENT CHILDREN BETWEEN 18 AND 22 YEARS OF AGE TO
RECEIVE SURVIVOR ANNUITY BENEFITS. IT COLLECTS INFORMATION
REGARDING MARITAL STATUS, CURRENT FULL-TIME SCHOOL ATTENDANCE AND
FUTURE PLANS FOR FULL-TIME SCHOOL ATTENDANCE.
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.