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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....
 
No Modified
 
Required to Obtain or Retain Benefits
 
5 CFR 842.613 5 CFR 842.614 5 CFR 831.631 5 CFR 842.612 5 CFR 842.611 5 CFR 842.615 5 CFR 831.632

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction RI 20-116 Yes No Fillable Printable
Form and Instruction RI 20-117_DC Yes No Fillable Printable
Form and Instruction RI 20-63 Yes No Fillable Printable
Form and Instruction RI 20-117_ROC Yes No Fillable Printable

General Government Executive Functions

OPM/Central-1  75 FR 15013

2,400 0
   
Individuals or Households
 
   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) 1,800 0 -34 0 0 1,834
Annual IC Cost Burden (Dollars) 51,600 0 -37,110 39,420 0 49,290

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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