Information Collection

Marital Status Certification Survey

IC 33548 under ICR 200907-3206-001 · OMB 3206-0033.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0033 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form RI 25-7 Marital Status Certification Survey	Form and Instruction
RI 25-7 Marital Status Certification Survey RI_25-7 May 2009.pdf	Form and Instruction
RI 25-7 (1-2009) Markup.pdf RI 25-7(1-2009) Markup	IC Document
RI25-007_May2009_Markup.pdf RI25-007_May2009_Markup	IC Document
RI25-007_October2007_Markup.pdf RI27-007_October2007_Markup	IC Document

IC Title:

Marital Status Certification Survey

Agency IC Tracking Number:

Is this a Common Form? Yes

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 831.641-831.642 5 CFR 842.611-842.612

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 and Instruction	RI 25-7	Marital Status Certification Survey	RI_25-7 May 2009.pdf		No		Fillable Printable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title: OPM/Central-1

FR Citation: 73 FR 15013

Number of Respondents: 24,000

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	24,000	21,500	2,500
Annual IC Time Burden (Hours)	6,000	5,375	625
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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