Information Collection

Alternative Annuity Election

IC 33645 under ICR 202106-3206-005 · OMB 3206-0168.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form RI 20-80 Alternative Annuity Election	Form and Instruction
RI 20-80 Alternative Annuity Election_MarkUp RI 20-80_2018_06_MarkUp.pdf	Form and Instruction
RI 20-80 Alternative Annuity Election_MarkUp RI 20-80_2018_06_MarkUp.pdf	Form and Instruction
RI 20-80 Alternative Annuity Election_Revised RI 20-80_2021_09_Revised.pdf	Form and Instruction
RI 20-80 Alternative Annuity Election_Revised RI 20-80_2021_09_Revised.pdf	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Alternative Annuity Election

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 Ch. 1 Sec. 831 - Subpart V 5 CFR Ch. 1 Sec. 842 - Subpart G (To search for a specific CFR, visit the Code of Federal Regulations.)

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 20-80	Alternative Annuity Election_MarkUp	RI 20-80_2018_06_MarkUp.pdf		No		Paper Only
Form and Instruction	RI 20-80	Alternative Annuity Election_Revised	RI 20-80_2021_09_Revised.pdf		No		Paper Only

Federal Enterprise Architecture Business Reference Module

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: 200

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	200	0	200
Annual IC Time Burden (Hours)	67	0	67
Annual IC Cost Burden (Dollars)	1,790	1,790	0

Documents for IC

table that charts IC Documents
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.