Information Collection

Application for Death Benefits under the Civil Service Retirement System Documentation and Elections in Support of Application for Death Benefits When the Deceased Was an....

IC 33625 under ICR 199901-3206-001 · OMB 3206-0156.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	Application for Death Benefits under the Civil Service Retirement System Documentation and Elections in Support of Application for Death Benefits When the Deceased Was an....	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	2800A				No	No
Form	2800				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 74,800	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2	2
Annual IC Time Burden (Hours)	56,100	56,100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded

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