OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Letter Reply to Request for Information. Former Spouse Survivor Annuity Election/Information on Electing a Survivor for Your Former Spouse

ICR 200805-3206-004 · OMB 3206-0235 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form RI 20-64 Letter Reply to Request for Information. Former Spouse Survivor Annuity Election/Information on Electing a Survivor for Your Former Spouse Form Modified Repair queued
RI 20-64 SS.doc Supporting Statement A Uploaded 2008-05-27 Available
IC Document Collections
IC IDCollectionTypeStatusForm
33752 Letter Reply to Request for Information. Former Spouse Survivor Annuity Election/Information on Electing a Survivor for Your Former Spouse Form Modified
ICR Details
3206-0235 200805-3206-004
Historical Active 200503-3206-005
OPM
Letter Reply to Request for Information. Former Spouse Survivor Annuity Election/Information on Electing a Survivor for Your Former Spouse
Extension without change of a currently approved collection   No
Regular
Approved without change 07/01/2008
Retrieve Notice of Action (NOA) 05/28/2008
  Inventory as of this Action Requested Previously Approved
07/31/2011 36 Months From Approved 06/30/2008
38 0 38
24 0 24
0 0 0
RI-20-64A and 20-64B are enclosed with RI20-64. This combination of information is needed so eligible annuitants can make an informed decision regarding a former spouse survivor annuity election and the resulting reduction in their annuities.
US Code: 5 USC 8339(j)(3) Name of Law: Computation of Annuity
   US Code: 5 USC 8417 Name of Law: Survivor Reduction for a Former Spouse
  
None
Not associated with rulemaking
  73 FR 10309 02/26/2008
73 FR 30648 05/28/2008
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 38 38 0 0 0 0
Annual Time Burden (Hours) 24 24 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$1,280
No
Yes
Uncollected
Uncollected
Uncollected
Uncollected
Cyrus Benson 202 606-0623 [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.
05/28/2008