AFFIDAVIT IN SUPPORT OF COMMON-LAW MARRIAGE

ICR 199201-0701-001

OMB: 0701-0094

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
164994 Migrated
ICR Details
0701-0094 199201-0701-001
Historical Active 199107-0701-003
DOD/AF
AFFIDAVIT IN SUPPORT OF COMMON-LAW MARRIAGE
No material or nonsubstantive change to a currently approved collection   No
Emergency 01/07/1992
Approved with change 01/07/1992
Retrieve Notice of Action (NOA) 01/07/1992
  Inventory as of this Action Requested Previously Approved
09/30/1994 09/30/1994 09/30/1994
60 0 60
12 0 12
0 0 0

IF THE RETIREE AND CLAIMANT PRESENTED THEMSELVE AS HUSBAND AND WIFE, BUT WERE NOT LEGALLY MARRIED, THE CLAIMANT FOR ANNUITY PAY MUST STATE THIS FACT. AFAFC LEGAL STAFF MUST RULE ON WHETHER THE COMMON-LAW MARRIAGE WAS RECOGNIZED IN THE STATE THE RETIRE RESIDED IN BEFORE ANY ANNUITY IS PAID.

None
None


No

1
IC Title Form No. Form Name
AFFIDAVIT IN SUPPORT OF COMMON-LAW MARRIAGE AF 3117

  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 60 60 0 0 0 0
Annual Time Burden (Hours) 12 12 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.
01/07/1992


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