OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Survivor Annuity Election for a Spouse/Cover Letter Giving Information About the Cost to Elect Less Than the Maximum Survivor Annuity/Cover Letter Giving Information About the....

ICR 201712-3206-015 · OMB 3206-0174 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form RI 20-63 Survivor Annuity Election for a Spouse/Cover Letter Giving Information About the Cost to Elect Less Than the Maximum Survivor Annuity/Cover Letter Giving Information About the.... Form and Instruction Modified Available
E8-5659.pdf Supplementary Document Uploaded 2017-12-29 Available
RI 20-63 Regulations.pdf Supplementary Document Uploaded 2017-12-29 Available
RI20-063_30DayFRNPublished_2017_12_11.pdf Supplementary Document Uploaded 2017-12-29 Available
RI20-063_60dayFRN_Published_2017_05_08.pdf Supplementary Document Uploaded 2017-12-29 Available
RI20-063_OMB_SuppStmt_2018_01_18.docx Supporting Statement A Uploaded 2018-01-19 Available
IC Document Collections
IC IDCollectionTypeStatusForm
33658 Survivor Annuity Election for a Spouse/Cover Letter Giving Information About the Cost to Elect Less Than the Maximum Survivor Annuity/Cover Letter Giving Information About the.... Form and Instruction Modified
ICR Details
3206-0174 201712-3206-015
Active 201607-3206-006
OPM RI 20-63/RI 20-116/RI 20-117
Survivor Annuity Election for a Spouse/Cover Letter Giving Information About the Cost to Elect Less Than the Maximum Survivor Annuity/Cover Letter Giving Information About the....
Revision of a currently approved collection   No
Regular
Approved with change 02/05/2018
Retrieve Notice of Action (NOA) 12/29/2017
This collection is approved based on the revised materials provided by the Agency.
  Inventory as of this Action Requested Previously Approved
02/28/2021 36 Months From Approved 02/28/2018
2,400 0 2,400
1,834 0 1,834
0 0 0
RI 20-63 is used by annuitants to elect a reduced annuity with a survivor annuity for their spouse. RI 20-116 and 20-117 are cover letters that give the cost of the election. RI 20-117 may be used to ask for more information or to decline to elect. RI 20-116 may be used to decline to elect.
US Code: 5 USC 8416(b) and (c) Name of Law: Survivor reduction for a current spouse
   US Code: 5 USC 8339(j)(5)(C)(i) and (k)(2) Name of Law: Computation of Annuity
  
None
Not associated with rulemaking
  82 FR 21433 05/08/2017
82 FR 58225 12/11/2017
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 2,400 2,400 0 0 0 0
Annual Time Burden (Hours) 1,834 1,834 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$142,800
No
    Yes
    Yes
No
No
No
Uncollected
Charles Conyers 202 606-0125 [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.
12/29/2017