Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Application for Survivor Death Benefits Modified 5500 1767 0 Form and Instruction AA-21 (11-08) Application for Lump-Sum Death Payments and Annuities Unpaid at Death
Form and Instruction G-131 Authorization of Payment and Release of All Claims to a Death Benefit or Accrued Annuity Payment
Form and Instruction AA-11a (09-03) Designation or Change of Beneficiary for Employees with Service Prior to January 1, 1975, for Residual Lump Sum
Form AA-21CERT Application Summary and Certification
Funeral Director's Statement of Burial Charges Modified 5000 833 0 Form and Instruction G-273a (06-06) Funeral Director's Statement of Burial Charges
Total burden requested under this ICR: 10500 2600 0  
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