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: 200801-3206-001
Status: Historical Active	Previous ICR Reference No: 200410-3206-004
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: 02/11/2008
	Date Received in OIRA: 01/10/2008
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2011	36 Months From Approved	02/29/2008
Responses	3,444	0	2,000
Time Burden (Hours)	3,444	0	2,000
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	3,444	2,000	1,444
Annual Time Burden (Hours)	3,444	2,000	1,444
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: The annual burden has increased due to an increase in the number of deceased employees under the Federal Employees Retirement System (FERS).

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