OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Evidence of Marital Relationship - Living with Requirements

OMB 3220-0021 · RRB.

OMB 3220-0021

Under the RRA, to obtain a benefit as a spouse of an employee annuitant or as the widow(er) of the deceased employee, an applicant must submit information to be used to determine if the marriage requirements for such benefits have been met. The collection obtains information supporting claimed common-law marriage, termination of previous marriages, and residency requirements.

The latest form for Evidence of Marital Relationship - Living with Requirements expires 2029-05-31 and is listed under ICR 202507-3220-001.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form G-238 (07-20) Statement of ResidenceForm
Form G-238 (07-20) Statement of ResidenceForm
Form G-238A (07-20) Statement Regarding Divorce or AnnulmentForm
Form G-238A (07-20) Statement Regarding Divorce or AnnulmentForm
Form G-237 (03-203 Statement Regarding Marital StatusForm and Instruction
Form G-124A (03-23) Statement Regarding MarriageForm
Form G-124A (03-23) Statement Regarding MarriageForm
Form G-124 (03-23) Statement of Marital RelationshipForm
3220-0021_Final.docxSupporting Statement A
Evidence of Marital Relationship - Living with Requirements Form
Evidence of Marital Relationship - Living with Requirements Form
Evidence of Marital Relationship - Living with Requirements Form
Evidence of Marital Relationship - Living with Requirements Form
Evidence of Marital Relationship - Living with Requirements Form and Instruction
Evidence of Marital Relationship - Living with Requirements Form and Instruction
Evidence of Marital Relationship - Living with Requirements Form
Evidence of Marital Relationship - Living with Requirements Form
Evidence of Marital Relationship - Living with Requirements Form
Evidence of Marital Relationship - Living with Requirements Form
Evidence of Marital Relationship - Living with Requirements Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202507-3220-001 Revision of a currently approved collection 2026-02-19
202301-3220-001 Revision of a currently approved collection 2023-01-27 Approved without change
201912-3220-001 Revision of a currently approved collection 2019-12-23 Approved without change
201605-3220-002 Revision of a currently approved collection 2016-07-19 Approved without change
201303-3220-002 Extension without change of a currently approved collection 2013-03-29 Approved with change
201201-3220-003 Extension without change of a currently approved collection 2012-02-06 Approved without change
200810-3220-004 Extension without change of a currently approved collection 2008-12-22 Approved without change
200511-3220-002 Extension without change of a currently approved collection 2005-11-09 Approved without change
200210-3220-004 Extension without change of a currently approved collection 2002-10-22 Approved without change
199912-3220-004 Extension without change of a currently approved collection 1999-12-20 Approved without change
199610-3220-001 Extension without change of a currently approved collection 1996-10-11 Approved without change
199309-3220-001 Extension without change of a currently approved collection 1993-09-23 Approved without change
199109-3220-001 Extension without change of a currently approved collection 1991-09-03 Approved without change
198808-3220-001 Extension without change of a currently approved collection 1988-08-31 Approved without change
198508-3220-001 Revision of a currently approved collection 1985-08-28 Approved without change
198208-3220-002 Revision of a currently approved collection 1982-08-30 Approved without change
198106-3220-003 No material or nonsubstantive change to a currently approved collection 1981-06-23 Approved with change
198105-3220-043 No material or nonsubstantive change to a currently approved collection 1981-05-29 Approved with change
198104-3220-005 No material or nonsubstantive change to a currently approved collection 1981-04-24 Approved with change
198004-3220-009 No material or nonsubstantive change to a currently approved collection 1980-04-22 Approved with change
198003-3220-001 Revision of a currently approved collection 1980-03-17 Approved without change
198001-3220-001 Reinstatement without change of a previously approved collection 1980-01-29 Approved without change
197910-3220-004 No material or nonsubstantive change to a currently approved collection 1979-10-30 Approved with change
197908-3220-001 Revision of a currently approved collection 1979-08-10 Approved without change
197907-3220-004 Reinstatement without change of a previously approved collection 1979-07-31 Approved without change
197504-3220-005 No material or nonsubstantive change to a currently approved collection 1975-04-05 Approved with change