PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Application for Survivor Death Benefits
Modified
3800
1308
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
Form and Instruction
AA-21
Application for Lump-Sum Death Payments and Annuities Unpaid at Death
Form and Instruction
AA-11a
Designation or Change of Beneficiary for Employees with Service Prior to January 1, 1975 for Residual Lump Sum
Form and Instruction
G-131
Authorization of Payment and Release of All Claims to a Death Benefit or Accrued Annuity Payment
Funeral Director's Statement of Burial Charges
Modified
4000
667
0
Form and Instruction
G-273a (06-06)
Funeral Director's Statement of Burial Charges
Form and Instruction
G-273a
Funeral Director's Statement of Burial Charges
Total burden requested under this ICR:
7800
1975
0
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