Court Orders Affecting Retirement Benefits - 5 CFR 838.221, 838.421, and 838.721

ICR 201106-3206-003 · OMB 3206-0204 · Historical Active

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 3206-0204 can be found here:

Forms and Documents

Document	Type	Status	Availability
30-day FRN.pdf	Supplementary Document	Uploaded 2011-06-07	Repair queued
60-day FRN.pdf	Supplementary Document	Uploaded 2011-06-07	Available
COARB SS.doc	Supporting Statement A	Uploaded 2011-06-07	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
33695	Court Orders Affecting Retirement Benefits - 5 CFR 838.221, 838.421, and 838.721	Other-Regulations	Modified

ICR Details

OMB Control No: 3206-0204	ICR Reference No: 201106-3206-003
Status: Historical Active	Previous ICR Reference No: 200807-3206-002
Agency/Subagency: OPM	Agency Tracking No:
Title: Court Orders Affecting Retirement Benefits - 5 CFR 838.221, 838.421, and 838.721
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/29/2011
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/07/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2014	36 Months From Approved	08/31/2011
Responses	19,000	0	19,000
Time Burden (Hours)	9,500	0	9,500
Cost Burden (Dollars)	0	0	0

Abstract: 5 CFR 838.221, 838.421, and 838.721 require former spouses of Federal employees to write to OPM, providing specific information needed for OPM to make court-ordered benefit payments. This information is needed to identify affected employees and to certify that the court order remains in effect.

Authorizing Statute(s): US Code: 5 USC 8345(j) Name of Law: Payment of Benefits; Commencement, termination, and waiver of annuity (CSRS)
   US Code: 5 USC 8467 Name of Law: FERS; Court Orders
   US Code: 5 USC 8341(h) Name of Law: Survivor Annuities (CSRS)

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 12999	03/09/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 31997	06/02/2011
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Court Orders Affecting Retirement Benefits - 5 CFR 838.221, 838.421, and 838.721

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	19,000	19,000
Annual Time Burden (Hours)	9,500	9,500
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Miles Windsor 202 606-8358 [email protected]

Common Form ICR: No