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Letter Reply to Request for Information. Former Spouse Survivor Annuity Election/Information on Electing a Survivor for Your Former Spouse
Letter Reply to Request for Information. Former Spouse Survivor Annuity Election/Information on Electing a Survivor for Your Former Spouse
OMB: 3206-0235
IC ID: 33752
OMB.report
OPM
OMB 3206-0235
ICR 201103-3206-003
IC 33752
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0235 can be found here:
2020-10-16 - Revision of a currently approved collection
2017-03-29 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form RI 20-64
Letter Reply to Request for Information. Former Spouse Survivor Annuity Election/Information on Electing a Survivor for Your Former Spouse
Form
RI 20-64B.pdf
Instruction
RI 20-64 Letter Reply to Request for Information
RI20-064.pdf
Form
RI 20-64A Former Spouse Survivor Annuity Election
RI20-64A_September2010.pdf
Form
RI20-064A August 2005 Markup.pdf
RI 20-064A August 2005 Markup
IC Document
RI20-64A_September2010 Markup.pdf
RI 20-064A_September2010 Markup
IC Document
RI20-064B 2005 markup.pdf
RI20-064B 2005 markup
IC Document
Ri20-064b March 2009 Markup.pdf
Ri20-064b March 2009 Markup
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Letter Reply to Request for Information. Former Spouse Survivor Annuity Election/Information on Electing a Survivor for Your Former Spouse
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
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
RI 20-64
Letter Reply to Request for Information
RI20-064.pdf
Yes
No
Fillable Printable
Form
RI 20-64A
Former Spouse Survivor Annuity Election
RI20-64A_September2010.pdf
No
Fillable Printable
Instruction
RI 20-64B.pdf
No
Printable Only
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:
73 FR 15013
Number of Respondents:
38
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
38
0
0
0
0
38
Annual IC Time Burden (Hours)
24
0
0
0
0
24
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
RI 20-064A August 2005 Markup
RI20-064A August 2005 Markup.pdf
03/30/2011
RI 20-064A_September2010 Markup
RI20-64A_September2010 Markup.pdf
03/30/2011
RI20-064B 2005 markup
RI20-064B 2005 markup.pdf
03/30/2011
Ri20-064b March 2009 Markup
Ri20-064b March 2009 Markup.pdf
03/30/2011
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.