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Application To Elect Reduced Annuity With Survivor Benefit For A Former Spouse, Ri 20-41 (formerly Bri46-423)

IC 157000 under ICR 198610-3206-001 · OMB 3206-0163.

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APPLICATION TO ELECT REDUCED ANNUITY WITH SURVIVOR BENEFIT FOR A FORMER SPOUSE, RI 20-41 (FORMERLY BRI46-423)
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form BRI 46-423 No No


    

500 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 500 0 0 500 0 0
Annual IC Time Burden (Hours) 125 0 0 125 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
 
 
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.