Information Collection

Marital Status Certification Survey

IC 33548 under ICR 201502-3206-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Marital Status Certification Survey	Form and Instruction
RI 25-7 Marital Status Certification Survey RI 25-7 June 2013.pdf	Form and Instruction
60-day FRN.pdf Marital Status Certiifcation Survey	IC Document
2015-01946 FRN VOL 80 PG 5585 2 2 20015.pdf 30-Day Federal Register Notice	IC Document

IC Title:

Marital Status Certification Survey

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 842.611-842.612 5 CFR 831.641-831.642

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				No		Printable Only

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	Previously Approved
Annual Number of Responses for this IC	24,000	24,000
Annual IC Time Burden (Hours)	6,000	6,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Marital Status Certiifcation Survey		02/03/2015
30-Day Federal Register Notice		02/03/2015

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

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