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Federal forms, ICRs, and supporting documents

Information Collection

Letter Reply to Request for Information. Former Spouse Survivor Annuity Election/Information on Electing a Survivor for Your Former Spouse

IC 33752 under ICR 202010-3206-013 · OMB 3206-0235.

Documents and Forms
Document Name
Document Type
Form
Instruction
Form
Form and Instruction
Information Collection (IC) Details

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Letter Reply to Request for Information. Former Spouse Survivor Annuity Election/Information on Electing a Survivor for Your Former Spouse
 
No Modified
 
Required to Obtain or Retain Benefits
 
5 CFR 831.631 5 CFR 831.632

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form RI 20-64 Letter Reply to Request for Information_Revised RI20-064_2020_08_Revised..pdf Yes No Fillable Printable
Form and Instruction RI 20-64A Former Spouse Survivor Annuity Election_Revised RI 20-64A_2020_08_Revised.pdf No   Fillable Printable
Instruction RI 20-64B September 2013.pdf No   Printable Only

General Government Executive Functions

OPM/Central-1  73 FR 15013

38 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 38 0 0 0 0 38
Annual IC Time Burden (Hours) 24 0 0 0 0 24
Annual IC Cost Burden (Dollars) 0 0 -633 633 0 0

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