ALTERNATIVE ANNUITY ELECTION

ICR 199407-3206-005

OMB: 3206-0168

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
157016 Migrated
ICR Details
3206-0168 199407-3206-005
Historical Active 199107-3206-004
OPM
ALTERNATIVE ANNUITY ELECTION
Extension without change of a currently approved collection   No
Regular
Approved without change 10/19/1994
Retrieve Notice of Action (NOA) 07/07/1994
OMB is providing OPM with suggested edits to simplify this form and its associated instructions. Limited term approval for this informati collection is given so that OPM can revise the form based upon consideration of these suggestions.
  Inventory as of this Action Requested Previously Approved
06/30/1995 06/30/1995 09/30/1994
9,600 0 9,600
3,200 0 3,200
0 0 0

RI 20-80 IS USED FOR INDIVIDUALS WHO ARE ELIGIBLE TO ELECT WHETHER TO RECEIVE A REDUCED ANNUITY AND A LUMP-SUM PAYMENT EQUAL TO THEIR RETIREMENT CONTRIBUTIONS (ALTERNATIVE FORM OF ANNUITY) OR AN UNREDUCED ANNUITY AND NO LUMP SUM. THE COVER LETTER EXPLAINS THE ELECTION.

None
None


No

1
IC Title Form No. Form Name
ALTERNATIVE ANNUITY ELECTION RI 20-80

  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 9,600 9,600 0 0 0 0
Annual Time Burden (Hours) 3,200 3,200 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.
07/07/1994


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