OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

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

IC 33752 under ICR 201103-3206-003 · OMB 3206-0235.

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Instruction
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Letter Reply to Request for Information. Former Spouse Survivor Annuity Election/Information on Electing a Survivor for Your Former Spouse
 
No Modified
 
Required to Obtain or Retain Benefits
 
5 CFR 831.631 5 CFR 831.632

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form RI 20-64 Letter Reply to Request for Information RI20-064.pdf Yes No Fillable Printable
Form RI 20-64A Former Spouse Survivor Annuity Election RI20-64A_September2010.pdf No   Fillable Printable
Instruction RI 20-64B.pdf No   Printable Only

General Government Executive Functions

OPM/Central-1  73 FR 15013

38 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 38 0 0 0 0 38
Annual IC Time Burden (Hours) 24 0 0 0 0 24
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
RI 20-064A August 2005 Markup RI20-064A August 2005 Markup.pdf 03/30/2011
RI 20-064A_September2010 Markup RI20-64A_September2010 Markup.pdf 03/30/2011
RI20-064B 2005 markup RI20-064B 2005 markup.pdf 03/30/2011
Ri20-064b March 2009 Markup Ri20-064b March 2009 Markup.pdf 03/30/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.