OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Letter Reply to Request for Information. Former Spouse Survivor Annuity Election/Information on Electing a Survivor for Your Former Spouse

IC 33752 under ICR 201103-3206-003 · OMB 3206-0235.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form RI 20-64
Letter Reply to Request for Information Letter Reply to Request for Information. Former Spouse Survivor Annuity Election/Information on Electing a Survivor for Your Former Spouse		 Form
Form RI 20-64A
Former Spouse Survivor Annuity Election 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)

layout table

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 20-64 Yes No Fillable Printable
Form RI 20-64A No   Fillable Printable
Instruction No   Printable Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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
table that charts IC Documents
Title Document Date Uploaded
RI 20-064A August 2005 Markup 03/30/2011
RI 20-064A_September2010 Markup 03/30/2011
RI20-064B 2005 markup 03/30/2011
Ri20-064b March 2009 Markup 03/30/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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