Marital Status Certification Survey

Marital Status Certification

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0033 can be found here:

Documents and Forms

Document Name Document Type
Form RI 25-7 Marital Status Certification Survey Form and Instruction
RI 25-7 Marital Status Certification RI25-007_2021_06.pdf www.opm.gov Form and Instruction
RI 25-7 Marital Status Certification RI25-007_2019_05.pdf www.opm.gov Form and Instruction

Information Collection (IC) Details

IC Title:	Marital Status Certification Survey	Agency IC Tracking Number:	RI 25-7

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 831.641-831.642 5 CFR 842.611-842.612

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	RI 25-7	Marital Status Certification	RI25-007_2021_06.pdf	www.opm.gov	Yes	No	Fillable Printable
Form and Instruction	RI 25-7	Marital Status Certification	RI25-007_2019_05.pdf	www.opm.gov	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: 24,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	24,000	24,000
Annual IC Time Burden (Hours)	6,000	6,000
Annual IC Cost Burden (Dollars)	161,400	161,400

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.