Request for Change to Unreduced Annuity

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form RI 20-120 Request for Change to Unreduced Annuity	Form and Instruction	Modified	Available
Form RI 20-120 RI 20-120, Request for Change to Unreduced Annuity	Form and Instruction	Modified	Repair queued
PC_202504-3206-003_050825_030552_1.pdf	Public Comments	Uploaded 2025-05-08	Available
RI20-120_Supporting_Statement_Aug 2025.docx	Supporting Statement A	Uploaded 2025-08-28	Available
RI20-120_Supporting_Statement_2025.docx	Supporting Statement A	Uploaded 2025-04-08	Available
FACES 2017 FINAL 12212017signed.pdf	Supplementary Document	Uploaded 2021-06-29	Available
FACES 2017 FINAL 12212017signed.pdf	Supplementary Document	Uploaded 2021-06-29	Missing upstream
ARS PIA Final 12212017signed.pdf	Supplementary Document	Uploaded 2021-06-29	Available
ARS PIA Final 12212017signed.pdf	Supplementary Document	Uploaded 2021-06-29	Missing upstream

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
33770	RI 20-120, Request for Change to Unreduced Annuity	Form and Instruction	Modified	Request for Change to Unreduced Annuity
33770	RI 20-120, Request for Change to Unreduced Annuity	Form and Instruction	Modified

ICR Details

OMB Control No: 3206-0245	ICR Reference No: 202504-3206-003
Status: Active	Previous ICR Reference No: 202106-3206-008
Agency/Subagency: OPM	Agency Tracking No: RI 20-120
Title: Request for Change to Unreduced Annuity
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 08/28/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/08/2025
Terms of Clearance: This collection is approved based on the revised materials provided by the Agency.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2028	36 Months From Approved
Responses	5,000	0	0
Time Burden (Hours)	2,500	0	0
Cost Burden (Dollars)	147,850	0	0

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Abstract: RI 20-120 collects information from annuitants whose marriages have ended and who request an annuity paid at the unreduced rate without provisions for a survivor benefit.

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Authorizing Statute(s): US Code: 5 USC Section 8339(j)(5)(A) and (B) Name of Law: Computation of Annuity
   US Code: 5 USC Section 8419(b) Name of Law: Survivor reductions; Computation
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 104243	12/20/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 15166	04/08/2025
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
RI 20-120, Request for Change to Unreduced Annuity	RI 20-120	Request for Change to Unreduced Annuity

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ICR Summary of Burden

table that charts list of burden

	Total Approved	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	5,000	0	0	0	0	5,000
Annual Time Burden (Hours)	2,500	0	0	0	0	2,500
Annual Cost Burden (Dollars)	147,850	0	0	-19,338	0	167,188

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $148,750

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 04/08/2025

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