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 Employee at the Time of..

IC 33626 under ICR 200203-3206-001 · 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 Employee at the Time of..	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	SF-2800A				No	No
Form	SF-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	Previously Approved
Annual Number of Responses for this IC	74,800	74,798	2
Annual IC Time Burden (Hours)	56,100	0	56,100
Annual IC Cost Burden (Dollars)	0	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.