Request for Change to Unreduced Annuity

OMB 3206-0245

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.

The latest form for Request for Change to Unreduced Annuity expires 2021-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form RI 20-120 RI 20-120, Request for Change to Unreduced Annuity Form and Instruction
FACES 2017 FINAL 12212017signed.pdf Supplementary Document
ARS PIA Final 12212017signed.pdf Supplementary Document
RI20-120_60dayFRNPublished_2021_4_14.pdf Supplementary Document
RI 20-120_30DAYFRN_Published_2021_06_28.pdf Supplementary Document
RI 20-120_Supporting_Stmt_2021_05_28.docx Supporting Statement A
RI 20-120, Request for Change to Unreduced Annuity Form and Instruction

202106-3206-008 Approved with change	Revision of a currently approved collection	2021-06-29
201804-3206-002 Approved with change	Extension without change of a currently approved collection	2018-04-24
201501-3206-001 Approved with change	Extension without change of a currently approved collection	2015-02-09
201201-3206-003 Approved without change	Revision of a currently approved collection	2012-01-26
200906-3206-001 Approved without change	Extension without change of a currently approved collection	2009-06-11
200604-3206-001 Approved without change	Extension without change of a currently approved collection	2006-04-21
200302-3206-001 Approved with change	New collection (Request for a new OMB Control Number)	2003-02-03