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Federal forms, ICRs, and supporting documents

Information Collection

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....

IC 33658 under ICR 202406-3206-001 · OMB 3206-0174.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

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....
 
No Modified
 
Required to Obtain or Retain Benefits
 
5 CFR 831.631 5 CFR 842.613 5 CFR 842.614 5 CFR 842.612 5 CFR 842.611 5 CFR 842.615 5 CFR 831.632

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction RI 20-116 Information about the Cost to Elect Less Than the Maximum Survivor Annuity RI20-116_2024_10_DC.pdf Yes No Fillable Printable
Form and Instruction RI 20-117_DC Information about the Cost to Elect teh Maximum Survivor Annuity RI20-117_2024_10_DC.pdf Yes No Fillable Printable
Form and Instruction RI 20-63 Survivor Annuity Election for a Spouse RI20-063_2024_10.pdf Yes No Fillable Printable
Form and Instruction RI 20-117_ROC Information about the Cost to Elect the Maximum Survivor Annuity RI20-117_2024_12_ROC.pdf Yes No Fillable Printable

General Government Executive Functions

OPM/Central-1  75 FR 15013

2,400 0
   
Individuals or Households
 
   0 %

  Requested 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 2,400 0 0 0 0 2,400
Annual IC Time Burden (Hours) 1,834 0 0 0 0 1,834
Annual IC Cost Burden (Dollars) 49,290 0 -39,420 39,420 0 49,290

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