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Federal forms, ICRs, and supporting documents

Information Collection Request

APPLICATION TO PROVIDE SURVIVOR ANNUITY BENEFITS FOR A PERSON WHOM YOU MARRIED AFTER YOU RETIRED

ICR 198511-3206-001 · OMB 3206-0164 · Historical Active

Forms and Documents
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IC Document Collections
IC IDCollectionTypeStatusForm
157001 APPLICATION TO PROVIDE SURVIVOR ANNUITY BENEFITS FOR A PERSON WHOM YOU MARRIED AFTER YOU RETIRED Form Migrated
ICR Details
3206-0164 198511-3206-001
Historical Active
OPM
APPLICATION TO PROVIDE SURVIVOR ANNUITY BENEFITS FOR A PERSON WHOM YOU MARRIED AFTER YOU RETIRED
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 11/07/1985
Retrieve Notice of Action (NOA) 11/07/1985
  Inventory as of this Action Requested Previously Approved
01/31/1986 01/31/1986
800 0 0
200 0 0
0 0 0
CIVIL SERVICE PENSIONS, EMPLOYEE SURVIVOR BENEFITS, SURVIVING SPOUSES PUBLIC LAW 98-615 PROVIDES ELIGIBLE ANNUITANTS THE OPPORTUNITY TO PROVIDE SURVIVOR BENEFITS FOR SPOUSES ACQUIRED AFTER RETIREMENT. BRI 46-425 IS THE FORM USED TO APPLY FOR THESE ADDITIONAL BENEFITS. THE LAW SPECIFIES THESE ELECTIONS ARE TO BE MADE BY NOVEMBER 8, 1985.
None
None
No
1
IC Title Form No. Form Name
APPLICATION TO PROVIDE SURVIVOR ANNUITY BENEFITS FOR A PERSON WHOM YOU MARRIED AFTER YOU RETIRED BRI 46-425
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 800 0 0 800 0 0
Annual Time Burden (Hours) 200 0 0 200 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
11/07/1985