Marital Status Certification Survey

ICR 201803-3206-007

OMB: 3206-0033

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supplementary Document
2018-03-23
Supplementary Document
2018-03-23
Supplementary Document
2018-03-23
Supplementary Document
2018-03-23
Supporting Statement A
2018-05-30
IC Document Collections
IC ID
Document
Title
Status
33548 Modified
ICR Details
3206-0033 201803-3206-007
Active 201603-3206-009
OPM RI 25-7
Marital Status Certification Survey
Revision of a currently approved collection   No
Regular
Approved with change 06/04/2018
Retrieve Notice of Action (NOA) 03/27/2018
This collection is approved based on the revised materaisl provide by the Agency. Before this collection is next submitted to OMB, OPM should consider making this a common form as this information collection is used government-wide for the same purpose.
  Inventory as of this Action Requested Previously Approved
06/30/2021 36 Months From Approved 06/30/2018
24,000 0 24,000
6,000 0 6,000
0 0 0

RI 25-7 is used to determine whether widows, widowers, and former spouses receiving survivor annuities from OPM have remarried before reaching age 55 and, thus, are no longer eligible for benefits from us. The form has been revised to update the Privacy Act Statement including editorial edits to the instructions.

US Code: 5 USC 8442 Name of Law: Rights of a Widow, Widower
   US Code: 5 USC 8445 Name of Law: Rights of a Former Spouse
   US Code: 5 USC 8341 Name of Law: Survivor Annuities
  
None

Not associated with rulemaking

  82 FR 58226 12/11/2017
83 FR 11252 03/14/2018
No

1
IC Title Form No. Form Name
Marital Status Certification Survey RI 25-7, RI 25-7 Marital Status Certification Surve ,   Marital Status Certification Survey

  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 24,000 24,000 0 0 0 0
Annual Time Burden (Hours) 6,000 6,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$86,000
No
    Yes
    Yes
No
No
No
Uncollected
Charles Conyers 202 606-0125 [email protected]

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
03/27/2018


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