Alternative Annuity Election

Documents and Forms

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:

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

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 %

	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

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.