View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 3206-0218	ICR Reference No: 201003-3206-002
Status: Historical Active	Previous ICR Reference No: 200801-3206-001
Agency/Subagency: OPM	Agency Tracking No:
Title: Death Benefit Payment Rollover Election Form
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/23/2010
	Date Received in OIRA: 04/06/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2011	02/28/2011	02/28/2011
Responses	3,444	0	3,444
Time Burden (Hours)	3,444	0	3,444
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	3,444	3,444
Annual Time Burden (Hours)	3,444	3,444
Annual Cost Burden (Dollars)	0	0

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: 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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