Information Collection Request
Exchange Employee and Retirement Benefit System
ICR 202209-0702-002 · OMB 0702-0139 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0702-0139 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form Exchange Form 1700 Beneficiary Designation (Exchange Form 1700-012) |
Form and Instruction | Modified | Repair queued |
| Form Exchange Form 1450 Annuity Application (Exchange Form 1450-011) |
Form and Instruction | Modified | Repair queued |
 SORN - AAFES 0703.07 (DRAFT) - AAFES EMPLOYEE PAY SYSTEM RECORDS.pdf |
Supplementary Document | Uploaded 2022-09-30 | Repair queued |
| SSN JUST MEMO - PERSONNEL SYSTEMS.pdf |
Supplementary Document | Uploaded 2022-09-30 | Repair queued |
 0702-0139_SSA_10.25.2022.docx |
Supporting Statement A | Uploaded 2022-10-25 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 222966 |  Beneficiary Designation (Exchange Form 1700-012) |
Form and Instruction | Modified | |
| 222963 | Annuity Application (Exchange Form 1450-011) |
Form and Instruction | Modified | |
| 222952 | Web-based Health/Benefit Enrollment |
Other-Website | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | DOD/DOA |
| OMB Control No | 0702-0139 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 201909-0702-001 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |