Information Collection

Excahange Form 1450-011

IC 222963 under ICR 201608-0702-001 · OMB 0702-0139.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0702-0139 can be found here:

Documents and Forms

Document Name Document Type
Form Exchange Form 1450 Excahange Form 1450-011 Form and Instruction
Exchange Form 1450 Annuity Application FORM 1450-011 Annuity Application(2).PDF Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Excahange Form 1450-011	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Exchange Form 1450-011	Annuity Application	FORM 1450-011 Annuity Application(2).PDF		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title: AAFES 0903.06: Personnel Management Information System	FR Citation: 78 FR 38017

Number of Respondents: 600	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	3,750	3,750

Documents for IC

Title	Document	Date Uploaded
No associated records found

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