Information Collection

Civil Service Retirement System Survivor Annuitant Express Pay Apkication for Death Benefits

IC 33745 under ICR 200107-3206-003 · OMB 3206-0233.

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Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

Civil Service Retirement System Survivor Annuitant Express Pay Apkication for Death Benefits

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Voluntary

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
Form	RI-25-51				No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 34,800

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	34,800	12,800	22,000
Annual IC Time Burden (Hours)	17,400	6,400	11,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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