Information Collection

Marital Status Certification Survey

IC 33548 under ICR 201603-3206-009 · OMB 3206-0033.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0033 can be found here:

Documents and Forms

Document Name Document Type
Form RI 25-7 Marital Status Certification Survey Form and Instruction
RI 25-7 Marital Status Certification Survey; Revised June 2013 RI25-007_2013_06_MarkUp.pdf Form and Instruction
RI 25-7 Marital Status Certification Survey; Revised April 2016 RI25-007_2016_04_MarkUp.pdf Form and Instruction
RI25-007_Justification_NonSubstantial_NoMaterialChange.doc RI 25-7 - Justification for Non-Material Change IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Marital Status Certification Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 831.641-831.642 5 CFR 842.611-842.612

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	RI 25-7	Marital Status Certification Survey; Revised June 2013	RI25-007_2013_06_MarkUp.pdf		Yes	No	Fillable Printable
Form and Instruction	RI 25-7	Marital Status Certification Survey; Revised April 2016	RI25-007_2016_04_MarkUp.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title: OPM/Central-1	FR Citation: 73 FR 15013

Number of Respondents: 24,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	24,000	24,000
Annual IC Time Burden (Hours)	6,000	6,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
RI 25-7 - Justification for Non-Material Change	RI25-007_Justification_NonSubstantial_NoMaterialChange.doc	03/30/2016

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