View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 3206-0218	ICR Reference No: 200107-3206-001
Status: Historical Active	Previous ICR Reference No: 199802-3206-004
Agency/Subagency: OPM	Agency Tracking No:
Title: Death Benefit Payment Rollover Election Form
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/05/2001
	Date Received in OIRA: 07/03/2001
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2005	01/31/2005	10/31/2001
Responses	1,850	0	700
Time Burden (Hours)	1,850	0	700
Cost Burden (Dollars)	0	0	19,400,000

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	1,850	700	1,150
Annual Time Burden (Hours)	1,850	700	1,150
Annual Cost Burden (Dollars)	0	19,400,000	-19,400,000

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.