APPLICATION FOR RESTORATION OF SURVIVOR ANNUITY

ICR 198903-3206-008

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
176704 Migrated
ICR Details
3206-0088 198903-3206-008
Historical Active 198801-3206-006
OPM
APPLICATION FOR RESTORATION OF SURVIVOR ANNUITY
No material or nonsubstantive change to a currently approved collection   No
Emergency 03/07/1989
Approved with change 03/07/1989
Retrieve Notice of Action (NOA) 03/07/1989
  Inventory as of this Action Requested Previously Approved
04/30/1989 04/30/1989 04/30/1989
50 0 100
13 0 25
0 0 0

BRI 46-360 IS DESIGNED FOR THE USE OF WIDOWS AND WIDOWERS WHOSE SURVIVOR ANNUITIES WERE TERMINATED BECAUSE OF REMARRIAGE PRIOR TO JULY 18, 1966 AND WHO WRITE TO OPM REQUESTING RESTORATION. INFORMATION IS COLLECTED TO DETERMINE THEIR ELIGIBILITY FOR A RESTORED SURVIVOR ANNUITY. THE PUBLIC SUBMITS APPROXIMATELY 200 APPLICATIONS ANNUALLY.

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 50 100 0 -50 0 0
Annual Time Burden (Hours) 13 25 0 -12 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$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.
03/07/1989


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