APPLICATION FOR MINIMUM SURVIVOR ANNUITY

ICR 198909-3206-003

OMB: 3206-0059

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
156748 Migrated
ICR Details
3206-0059 198909-3206-003
Historical Active 198903-3206-006
OPM
APPLICATION FOR MINIMUM SURVIVOR ANNUITY
Revision of a currently approved collection   No
Regular
Approved without change 10/20/1989
Retrieve Notice of Action (NOA) 09/06/1989
  Inventory as of this Action Requested Previously Approved
10/31/1992 10/31/1992 09/30/1989
50 0 50
13 0 13
0 0 0

CERTAIN SURVIVOR ANNUITANTS WHO WERE ENTITLED TO MINIMUM ANNUITY PRIOR TO THE REPEAL OF THE MINIMUM ANNUITY PROVISIONS ON FEBRUARY 27, 1986, CONTINUE TO BE PAID MINIMUM ANNUITY. OPM USES RI 25-2, THE APPLICATION FOR MINIMUM SURVIVOR ANNUITY, TO DETERMINE IF THE SURVIVOR ANNUITANT QUALIFIES FOR MINIMUM ANNUITY.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR MINIMUM SURVIVOR ANNUITY RI 25-2

  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 50 0 0 0 0
Annual Time Burden (Hours) 13 13 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
09/06/1989


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