Information Collection

Court Orders Affecting Retirement Benefits -- 5 Cfr Section 838.221, Section 838.421, And Section 838.721

IC 157109 under ICR 199501-3206-002 · OMB 3206-0204.

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IC Title:

COURT ORDERS AFFECTING RETIREMENT BENEFITS -- 5 CFR SECTION 838.221, SECTION 838.421, AND SECTION 838.721

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 12,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	12,000	12,000	0
Annual IC Time Burden (Hours)	1,200	500	700
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.