Civil Service Retirement System Survivor Annuitant Express Pay Application for Death Benefits

Civil Service Retirement System Survivor Annuitant Express Pay Application for Death Benefits

OMB: 3206-0233

IC ID: 33746

Information Collection (IC) Details

View Information Collection (IC)

Civil Service Retirement System Survivor Annuitant Express Pay Application for Death Benefits
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction RI 25-51 Civil Service Retirement System Survivor Annuitant Express Pay Application for Death Benefits RI 25-051 May 2011.pdf No   Fillable Printable

General Government Executive Functions

OPM/Central-1  73 FR 15013

34,800 0
   
Individuals or Households
 
   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 34,800 0 0 0 0 34,800
Annual IC Time Burden (Hours) 17,400 0 0 0 0 17,400
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
RI25-051 May 2011 Markup RI25-051 May 2011 Mark- Up.pdf 06/02/2011
RI 25-051 Dec 2010 Markup RI 25-051 Dec 2010 Markup.pdf 06/02/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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