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Letter Reply to Request for Information. Former Spouse Survivor Annuity Election/Information on Electing a Survivor for Your Former Spouse
 
No Modified
 
Required to Obtain or Retain Benefits
 
5 CFR 831.631 5 CFR 831.632

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form RI 20-64 Yes No Fillable Printable
Form and Instruction RI 20-64A No   Fillable Printable
Instruction No   Printable Only

General Government Executive Functions

OPM/Central-1  73 FR 15013

38 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 38 0 0 0 0 38
Annual IC Time Burden (Hours) 24 0 0 0 0 24
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
30 Day Published FRN RI 20-64 03/23/2017
RI20-064_OMB_Supporting_Statement_csb_2016_11_14 03/23/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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