Information Collection

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

IC 33695 under ICR 201704-3206-001 · OMB 3206-0204.

Documents and Forms

Document Name Document Type
Court Order Regulations.pdf Other-Regulation
COARB Denial No Divorce Decree Denial No Divorce Decree.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

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

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Regulation			Court Order Regulations.pdf		No		Printable Only
Form and Instruction	COARB	Denial No Divorce Decree	Denial No Divorce Decree.docx		No		Paper Only

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: 19,000	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	19,000	19,000
Annual IC Time Burden (Hours)	9,500	9,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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