Survivor Annuity Election for a Spouse

ICR 199810-3206-003

OMB: 3206-0174

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
33656 Migrated
ICR Details
3206-0174 199810-3206-003
Historical Active 199407-3206-006
OPM
Survivor Annuity Election for a Spouse
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 12/16/1998
Retrieve Notice of Action (NOA) 10/23/1998
  Inventory as of this Action Requested Previously Approved
12/31/2001 12/31/2001
2,600 0 0
1,834 0 0
0 0 0

RI-20-63 is enclosed with a letter explaining why OPM is sending the form and is used by the Civil Service Retirement System to provide information and an election opportunity to annuitants who are eligible to elect a reduced annuity with a survivor annuity.

None
None


No

1
IC Title Form No. Form Name
Survivor Annuity Election for a Spouse RI-20-63

  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 2,600 0 0 2,600 0 0
Annual Time Burden (Hours) 1,834 0 0 1,834 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
10/23/1998


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