Evidence of Marital Relationship - Living with Requirements

OMB 3220-0021

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 2023-03-31 and can be found here.

All Historical Document Collections
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

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