Information Collection

Survivor Annuity Election for a Spouse/Cover Letter Giving Information About the Cost to Elect Less Than the Maximum Survivor Annuity/Cover Letter Giving Information About the....

IC 33658 under ICR 200705-3206-002 · OMB 3206-0174.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0174 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form RI-20-63 Survivor Annuity Election for a Spouse Survivor Annuity Election for a Spouse/Cover Letter Giving Information About the Cost to Elect Less Than the Maximum Survivor Annuity/Cover Letter Giving Information About the....	Form
Form RI-20-116 Cover letter for RI 20-63 Giving Information About the Cost to Elect Less Than the Maximum Survivor Annuity Survivor Annuity Election for a Spouse/Cover Letter Giving Information About the Cost to Elect Less Than the Maximum Survivor Annuity/Cover Letter Giving Information About the....	Form
Form RI-20-117 Cover Letter for RI 20-63 Giving Information About the Cost to Elect the Maximum Survivor Annuity Survivor Annuity Election for a Spouse/Cover Letter Giving Information About the Cost to Elect Less Than the Maximum Survivor Annuity/Cover Letter Giving Information About the....	Form
RI-20-63 Survivor Annuity Election for a Spouse RI 20-63 (12-06).pdf	Form
RI-20-116 Cover letter for RI 20-63 Giving Information About the C RI20-116.pdf	Form
RI-20-117 Cover Letter for RI 20-63 Giving Information About the C RI20-117.pdf	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Survivor Annuity Election for a Spouse/Cover Letter Giving Information About the Cost to Elect Less Than the Maximum Survivor Annuity/Cover Letter Giving Information About the....

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 831.631 5 CFR 831.632 5 CFR 842.611 5 CFR 842.612 5 CFR 842.613 5 CFR 842.614 5 CFR 842.615

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Electronic Capability
Form	RI-20-63	No	Fillable Printable
Form	RI-20-116	No	Fillable Printable
Form	RI-20-117	No	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title: OPM/Central-1

FR Citation: 65 FR 25775

Number of Respondents: 2,400

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	Previously Approved
Annual Number of Responses for this IC	2,400	2,400
Annual IC Time Burden (Hours)	1,834	1,834
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

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