Marital Status Certification

ICR 202106-3206-009

OMB: 3206-0033

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supplementary Document
2021-06-29
Supplementary Document
2021-06-29
Supplementary Document
2018-03-23
Supplementary Document
2018-03-23
Supporting Statement A
2021-06-29
IC Document Collections
IC ID
Document
Title
Status
33548 Modified
ICR Details
3206-0033 202106-3206-009
Received in OIRA 201803-3206-007
OPM RI 25-7
Marital Status Certification
Revision of a currently approved collection   No
Regular 06/29/2021
  Requested Previously Approved
36 Months From Approved 06/30/2021
24,000 24,000
6,000 6,000
161,400 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.

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

  85 FR 59334 09/21/2020
86 FR 34049 06/28/2021
No

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

  Total Request 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) 161,400 0 0 161,400 0 0
No
No

$86,000
No
    Yes
    Yes
No
No
No
No
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.
06/29/2021


© 2024 OMB.report | Privacy Policy