OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Civil Service Retirement System Survivor Annuitant Express Pay Application for Death Benefits

ICR 200711-3206-004 · OMB 3206-0233 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form RI-25-51 Civil Service Retirement System Survivor Annuitant Express Pay Application for Death Benefits Form Modified Repair queued
RI25-051_OMBSupportingStmt no B.pdf Supporting Statement A Uploaded 2007-11-08 Available
IC Document Collections
IC IDCollectionTypeStatusForm
33746 Civil Service Retirement System Survivor Annuitant Express Pay Application for Death Benefits Form Modified
ICR Details
3206-0233 200711-3206-004
Historical Active 200410-3206-002
OPM
Civil Service Retirement System Survivor Annuitant Express Pay Application for Death Benefits
Extension without change of a currently approved collection   No
Regular
Approved without change 12/10/2007
Retrieve Notice of Action (NOA) 11/09/2007
  Inventory as of this Action Requested Previously Approved
12/31/2010 36 Months From Approved 12/31/2007
34,800 0 34,800
17,400 0 17,400
0 0 0
RI 25-51 is used to collect information from survivors of deceased annuitants who retired under the Civil Service Retirement System. This form is used only for survivors who are already identified in OPM records as payable when the annuitants dies.
US Code: 5 USC 8341 Name of Law: Survivor Annuitants
   US Code: 5 USC 8342 Name of Law: Lump-Sum Benefits; Designation of Beneficiaries; Order of Precedence
  
None
Not associated with rulemaking
  72 FR 26185 05/08/2007
72 FR 63214 11/08/2007
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 34,800 34,800 0 0 0 0
Annual Time Burden (Hours) 17,400 17,400 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$481,500
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Mary Smith-Toomey 202 606-8358 [email protected]
  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.
11/09/2007