OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

POST-RETIREMENT APPLICATION TO ELECT A REDUCED CIVIL SERVICE ANNUITY WITH SURVIVOR BENEFIT FOR A CURRENT SPOUSE/FOR A FORMER SPOUSE AND DO YOU WANT TO PROVIDE A CIVIL SER. ETC.

ICR 199107-3206-010 · OMB 3206-0174 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
176807 POST-RETIREMENT APPLICATION TO ELECT A REDUCED CIVIL SERVICE ANNUITY WITH SURVIVOR BENEFIT FOR A CURRENT SPOUSE/FOR A FORMER SPOUSE AND DO YOU WANT TO PROVIDE A CIVIL SER. ETC. Form Migrated
ICR Details
3206-0174 199107-3206-010
Historical Active 199008-3206-005
OPM
POST-RETIREMENT APPLICATION TO ELECT A REDUCED CIVIL SERVICE ANNUITY WITH SURVIVOR BENEFIT FOR A CURRENT SPOUSE/FOR A FORMER SPOUSE AND DO YOU WANT TO PROVIDE A CIVIL SER. ETC.
No material or nonsubstantive change to a currently approved collection   No
Emergency 07/23/1991
Approved with change 07/23/1991
Retrieve Notice of Action (NOA) 07/23/1991
  Inventory as of this Action Requested Previously Approved
08/31/1993 08/31/1993 08/31/1993
5,400 0 5,400
2,700 0 2,700
0 0 0
BOTH RI 20-63 AND RI 20-65 ARE USED BY CSRS TO PROVIDE INFORMATION AND A SURVIVOR BENEFITS ELECTION OPPORTUNITY TO ANNUITANTS WHO HAVE NOTIFIED THE CSRS OF THEIR MARRIAGE. RI 20-64 IS USED BY CSRS TO PROVIDE INFORMATION AND A SURVIVOR BENEFITS ELECTION OPPORTUNITY TO ANNUITANTS WHO HAVE NOTIFIED THE CSRS OF THEIR DIVORCE.
None
None
No
  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 5,400 5,400 0 0 0 0
Annual Time Burden (Hours) 2,700 2,700 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
07/23/1991