View Information Collection (IC)
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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Survivor Annuity Election for a Spouse/Cover Letter Giving Information About the Cost to Elect Less Than the Maximum Survivor Annuity/Cover Letter Giving Information About the....
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
5 CFR 831.632
5 CFR 842.611
5 CFR 842.612
5 CFR 842.613
5 CFR 842.614
5 CFR 842.615
5 CFR 831.631
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
RI 20-63
Survivor Annuity Election for a Spouse
RI20-063_June2010.pdf
No
Fillable Printable
Form and Instruction
RI 20-116
Cover Letter Giving Information About the Cost to Elect Less Than The Maximum Survivor Annuity
RI20-116_August2010.pdf
No
Fillable Printable
Form and Instruction
RI 20-117
Cover Letter Giving Information About The Cost to Elect The Maximum Survivor Annuity
RI20-117_August2010.pdf
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Executive Functions
Privacy Act System of Records
Title:
OPM/Central-1
FR Citation:
75 FR 15013
Number of Respondents:
2,400
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
2,400
0
0
0
0
2,400
Annual IC Time Burden (Hours)
1,834
0
0
0
0
1,834
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
RI20-063_June2010_MarkUp
RI20-063_June2010_MarkUp.pdf
08/18/2010
RI 20-63 December 2006 Markup
RI 20-63 December 2006 Markup.pdf
08/18/2010
RI20-116_August2010_MarkUp
RI20-116_August2010_MarkUp.pdf
08/18/2010
RI20-116_August2000_MarkUp
RI20-116_August2000_MarkUp.pdf
08/18/2010
RI20-117_August2010_MarkUp
RI20-117_August2010_MarkUp.pdf
08/18/2010
RI20-117_August2000_MarkUp
RI20-117_August2000_MarkUp.pdf
08/18/2010
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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