Information Collection

Application For Death Benefits (fers), Survivor Supplement (fers), And Documentation Of Elections In Support Of Application For Death Benefits When Deceased Was An ...

IC 157033 under ICR 199406-3206-010 · OMB 3206-0172.

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Information Collection (IC) Details

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IC Title:	APPLICATION FOR DEATH BENEFITS (FERS), SURVIVOR SUPPLEMENT (FERS), AND DOCUMENTATION OF ELECTIONS IN SUPPORT OF APPLICATION FOR DEATH BENEFITS WHEN DECEASED WAS AN ...	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	SF 3104	No	No
Form	SF 3104A	No	No
Form	SF 3104B	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,766	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	6,312	2,386	3,926
Annual IC Time Burden (Hours)	6,312	2,386	3,926
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

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