Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Application for Death Benefits (FERS); Documentation and Elections in Support of Application for Death Benefits when Deceased was an Employee at the Time of Death Modified 16751 16751 225066 Form and Instruction Standard Form 3104
Form and Instruction Standard Form 3104 (Highlight w/Changes)
Form and Instruction Standard Form 3104B
Form and Instruction Standard Form 3104B (Highlight w/Changes)
Total burden requested under this ICR: 16751 16751 225066  
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