RI 20-120, Request for Change to Unreduced Annuity

Request for Change to Unreduced Annuity

Documents and Forms

Document Name Document Type
Form RI 20-120 RI 20-120, Request for Change to Unreduced Annuity Form and Instruction
RI 20-120 Request for Change to Unreduced Annuity_MarkUp RI 20-120_2011_03_MarkUp.pdf Form and Instruction
RI 20-120 Request for Change to Unreduced Annuity_MarkUp RI 20-120_2011_03_MarkUp.pdf Form and Instruction
RI 20-120 Request for Change to Unreduced Annuity_Revised RI 20-120_2021_09_Revised.pdf Form and Instruction
RI 20-120 Request for Change to Unreduced Annuity_Revised RI 20-120_2021_09_Revised.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	RI 20-120, Request for Change to Unreduced Annuity	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	RI 20-120	Request for Change to Unreduced Annuity_MarkUp	RI 20-120_2011_03_MarkUp.pdf		Yes	No	Fillable Printable
Form and Instruction	RI 20-120	Request for Change to Unreduced Annuity_Revised	RI 20-120_2021_09_Revised.pdf		Yes	No	Fillable Printable

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: 5,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5,000	0	0	5,000
Annual IC Time Burden (Hours)	2,500	0	0	2,500
Annual IC Cost Burden (Dollars)	167,188	100,001	67,187	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.