Court Orders Affecting Retirement Benefits - 5 CFR 838.221, 838.421, and 838.721

Forms and Documents

Document Name	Status
30-Day FRN.pdf Supplementary Document	2014-05-20
60-Day FRN.pdf Supplementary Document	2014-05-20
COARB SS.doc Supporting Statement A	2014-05-20

IC Document Collections

IC ID	Document Title	Status
33695	Court Orders Affecting Retirement Benefits - 5 CFR 838.221, 838.421, and 838.721 Other-Regulation	Modified

ICR Details

OMB Control No: 3206-0204	ICR Reference No: 201405-3206-002
Status: Historical Active	Previous ICR Reference No: 201106-3206-003
Agency/Subagency: OPM	Agency Tracking No:
Title: Court Orders Affecting Retirement Benefits - 5 CFR 838.221, 838.421, and 838.721
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/20/2014
	Date Received in OIRA: 05/21/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2017	36 Months From Approved	07/31/2014
Responses	19,000	0	19,000
Time Burden (Hours)	9,500	0	9,500
Cost Burden (Dollars)	0	0	0

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Abstract: 5 CFR 838.221, 838.421, and 838.721 require former spouses of Federal employees to write to OPM, providing specific information needed for OPM to make court-ordered benefit payments. This information is needed to identify affected employees and to certify that the court order remains in effect.

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Authorizing Statute(s): US Code: 5 USC 8345(j) Name of Law: Payment of Benefits; Commencement, termination, and waiver of annuity (CSRS)
   US Code: 5 USC 8467 Name of Law: FERS; Court Orders
   US Code: 5 USC 8341(h) Name of Law: Survivor Annuities (CSRS)
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 3880	01/23/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 28978	05/20/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Court Orders Affecting Retirement Benefits - 5 CFR 838.221, 838.421, and 838.721

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	19,000	19,000	0	0	0	0
Annual Time Burden (Hours)	9,500	9,500	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 05/21/2014

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