OMB control number

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....

OMB 3206-0174 · OPM.

OMB 3206-0174

Survivor Annuity Election for a Spouse is an ICR containing one form and two cover letters. RI 20-63, Survivor Annuity Election for a Spouse, is available for retirees to file a specific written election with OPM to provide a survivor annuity. RI 20-63 is sent with RI 20-117, a cover letter customized to fit the annuitant’s specific situation, to provide information about the annuity payable after a survivor reduction to obtain the maximum survivor annuity. If the annuitant uses RI 20-63 to elect less than the maximum survivor annuity, we use RI 20-116 to supply the updated calculations of their requested election.

The latest form for 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.... expires 2028-05-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form RI 20-116 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
RI20-063_OMB_SupportingStatement_Final2024.docx Supporting Statement A
E8-5659.pdf Supplementary Document
RI20-063_30DayFRNPublished_2024_06_28.pdf Supplementary Document
RI20-063_60DayFRNPublished_2024_03_25.pdf Supplementary Document
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

All Historical Document Collections

202406-3206-001	Revision of a currently approved collection	2024-06-30
202102-3206-003 Approved without change	Revision of a currently approved collection	2021-02-26
201712-3206-015 Approved with change	Revision of a currently approved collection	2017-12-29
201607-3206-006 Approved without change	Revision of a currently approved collection	2016-08-16
201307-3206-007 Approved without change	Revision of a currently approved collection	2013-07-18
201008-3206-002 Approved without change	Revision of a currently approved collection	2010-08-24
200705-3206-002 Approved without change	Revision of a currently approved collection	2007-05-24
200309-3206-004 Approved without change	Reinstatement without change of a previously approved collection	2003-09-25
200003-3206-006 Approved without change	Revision of a currently approved collection	2000-03-09
199810-3206-003 Approved without change	Reinstatement with change of a previously approved collection	1998-10-23
199407-3206-006 Approved without change	Extension without change of a currently approved collection	1994-07-26
199404-3206-004 Approved with change	No material or nonsubstantive change to a currently approved collection	1994-04-25
199403-3206-004 Approved without change	Reinstatement with change of a previously approved collection	1994-03-29
199107-3206-010 Approved with change	No material or nonsubstantive change to a currently approved collection	1991-07-23
199008-3206-005 Approved without change	Extension without change of a currently approved collection	1990-08-16
198904-3206-014 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-04-18
198903-3206-014 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-03-07
198709-3206-002 Approved with change	No material or nonsubstantive change to a currently approved collection	1987-09-18
198708-3206-014 Approved with change	No material or nonsubstantive change to a currently approved collection	1987-08-31
198708-3206-011 Approved with change	No material or nonsubstantive change to a currently approved collection	1987-08-25
198708-3206-001 Approved without change	Revision of a currently approved collection	1987-08-27
198706-3206-001 Approved without change	New collection (Request for a new OMB Control Number)	1987-06-19