APPLICATION FOR MINIMUM ANNUITY

ICR 199209-3206-002

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
156749 Migrated
ICR Details
3206-0059 199209-3206-002
Historical Active 198909-3206-003
OPM
APPLICATION FOR MINIMUM ANNUITY
Revision of a currently approved collection   No
Regular
Approved without change 10/21/1992
Retrieve Notice of Action (NOA) 09/08/1992
  Inventory as of this Action Requested Previously Approved
10/31/1995 10/31/1995 10/31/1992
30 0 50
8 0 13
0 0 0

RI 25-2 IS USED BY THE SURVIVORS OF RETIRED FEDERAL EMPLOYEES TO APPLY TO HAVE THEIR SURVIVOR ANNUITITIES INCREASED TO THE MINIMUM AMOUNT, AS PROVIDED UNDER THE MINIMUM ANNUITY PROVISIONS OF P.L. 93-273. THIS PROVISION APPLIES ONLY TO SURVIVORS WHOSE ANNUITIES BEGAN BEFORE FEBRUARY 27, 1986.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR MINIMUM 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 30 50 0 0 -20 0
Annual Time Burden (Hours) 8 13 0 0 -5 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.
09/08/1992


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