RI 94-7, Death Benefit Payment Rollover Election Form

OMB 3206-0218

Provides FERS surviving spouses and surviving former spouses with the means to elect payment of FERS rollover-eligible benefits directly or to an Individual Retirement Arrangement (IRA), eligible employer plan or Thrift Savings Plan (TSP) account. The Privacy Act Statement has been revised due to a systematic review by our Chief Privacy Officer.

The latest form for RI 94-7, Death Benefit Payment Rollover Election Form expires 2023-12-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form RI 94-7 RI 94-7, Death Benefit Payment Rollover Election Form Form and Instruction
RI94-007_2011_05_MarkUp.pdf Supplementary Document
RI94-007_60DayFRN_Published_2020_03_23.pdf Supplementary Document
RI 94-007_30DayFRN_Published_2020_08_18.pdf Supplementary Document
E8-5659.pdf Supplementary Document
RI94-007_OMB_Support_Stmt_2020.docx Supporting Statement A
RI 94-7, Death Benefit Payment Rollover Election Form Form and Instruction

All Historical Document Collections

202010-3206-011 Approved without change	Revision of a currently approved collection	2020-10-16
201703-3206-018 Approved without change	Reinstatement without change of a previously approved collection	2017-05-15
201401-3206-002 Approved without change	Extension without change of a currently approved collection	2014-02-18
201011-3206-004 Approved without change	Revision of a currently approved collection	2010-11-30
201003-3206-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2010-04-06
200801-3206-001 Approved without change	Revision of a currently approved collection	2008-01-10
200410-3206-004 Approved without change	Revision of a currently approved collection	2004-10-29
200107-3206-001 Approved without change	Revision of a currently approved collection	2001-07-03
199802-3206-004 Approved without change	Revision of a currently approved collection	1998-02-11
199406-3206-008 Approved without change	New collection (Request for a new OMB Control Number)	1994-06-09