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View ICR - OIRA Conclusion

OMB Control No: 3206-0174	ICR Reference No: 202406-3206-001
Status: Active	Previous ICR Reference No: 202102-3206-003
Agency/Subagency: OPM	Agency Tracking No: RI 20-63/RI 20-116/RI 20-117
Title: Survivor Annuity Election for a Spouse
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/08/2025
	Date Received in OIRA: 06/30/2024
Terms of Clearance: This collection is approved based on the revised materials provided by the Agency.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2028	36 Months From Approved	05/31/2025
Responses	2,400	0	2,400
Time Burden (Hours)	1,800	0	1,834
Cost Burden (Dollars)	51,600	0	49,290

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion	Change Due to Adjustment in Estimate
Annual Number of Responses	2,400	2,400	0	0
Annual Time Burden (Hours)	1,800	1,834	-34	0
Annual Cost Burden (Dollars)	51,600	49,290	-37,110	39,420

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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Program changed due to updated costs, including inflation of wages.

Annual Cost to Federal Government: $142,800

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Alexys Stanley 202 936-2501 alexys.stanley@opm.gov

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