OMB control number
RI 94-7, Death Benefit Payment Rollover Election Form
OMB 3206-0218 · OPM.
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 is listed under ICR 202010-3206-011.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 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 |