OMB control number

Letter Reply to Request for Information. Former Spouse Survivor Annuity Election/Information on Electing a Survivor for Your Former Spouse

OMB 3206-0235 · OPM.

OMB 3206-0235

RI-20-64A and 20-64B are enclosed with RI 20-64. This combination of information is needed so eligible annuitants can make an informed decision regarding a former spouse survivor annuity election and the resulting reduction in their annuities. The Privacy Act Statement has been revised due to a systematic review by our Chief Privacy Officer.

The latest form for Letter Reply to Request for Information. Former Spouse Survivor Annuity Election/Information on Electing a Survivor for Your Former Spouse expires 2023-11-30 and is listed under ICR 202010-3206-013.

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202010-3206-013 Revision of a currently approved collection 2020-10-16 Approved without change
201703-3206-006 Extension without change of a currently approved collection 2017-03-29 Approved without change
201405-3206-003 Extension without change of a currently approved collection 2014-05-21 Approved without change
201103-3206-003 Revision of a currently approved collection 2011-04-07 Approved without change
200805-3206-004 Extension without change of a currently approved collection 2008-05-28 Approved without change
200503-3206-005 Revision of a currently approved collection 2005-03-28 Approved without change
200201-3206-004 Revision of a currently approved collection 2002-01-15 Approved without change
199806-3206-003 New collection (Request for a new OMB Control Number) 1998-06-26 Approved without change