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 can be found here.

Latest Forms, Documents, and Supporting Material
Document
Name
Form
Form G-238A (07-20) Statement Regarding Divorce or Annulment (document unavailable)
Form
Form and Instruction
Form
Form
Supporting Statement A
All Historical Document Collections
 Revision of a currently approved collection 2026-02-19
Approved without change
 Revision of a currently approved collection 2023-01-27
Approved without change
 Revision of a currently approved collection 2019-12-23
Approved without change
 Revision of a currently approved collection 2016-07-19
Approved with change
 Extension without change of a currently approved collection 2013-03-29
Approved without change
 Extension without change of a currently approved collection 2012-02-06
Approved without change
 Extension without change of a currently approved collection 2008-12-22
Approved without change
 Extension without change of a currently approved collection 2005-11-09
Approved without change
 Extension without change of a currently approved collection 2002-10-22
Approved without change
 Extension without change of a currently approved collection 1999-12-20
Approved without change
 Extension without change of a currently approved collection 1996-10-11
Approved without change
 Extension without change of a currently approved collection 1993-09-23
Approved without change
 Extension without change of a currently approved collection 1991-09-03
Approved without change
 Extension without change of a currently approved collection 1988-08-31
Approved without change
 Revision of a currently approved collection 1985-08-28
Approved without change
 Revision of a currently approved collection 1982-08-30
Approved with change
 No material or nonsubstantive change to a currently approved collection 1981-06-23
Approved with change
 No material or nonsubstantive change to a currently approved collection 1981-05-29
Approved with change
 No material or nonsubstantive change to a currently approved collection 1981-04-24
Approved with change
 No material or nonsubstantive change to a currently approved collection 1980-04-22
Approved without change
 Revision of a currently approved collection 1980-03-17
Approved without change
 Reinstatement without change of a previously approved collection 1980-01-29
Approved with change
 No material or nonsubstantive change to a currently approved collection 1979-10-30
Approved without change
 Revision of a currently approved collection 1979-08-10
Approved without change
 Reinstatement without change of a previously approved collection 1979-07-31
Approved with change
 No material or nonsubstantive change to a currently approved collection 1975-04-05