RI 20-120, Request for Change to Unreduced Annuity

ICR 201501-3206-001

OMB: 3206-0245

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2015-01-15
Supplementary Document
2015-01-15
Supporting Statement A
2015-04-23
IC Document Collections
IC ID
Document
Title
Status
33770 Modified
ICR Details
3206-0245 201501-3206-001
Historical Active 201201-3206-003
OPM
RI 20-120, Request for Change to Unreduced Annuity
Extension without change of a currently approved collection   No
Regular
Approved with change 04/27/2015
Retrieve Notice of Action (NOA) 02/09/2015
This collection is approved based on the revised materials provided by the Agency.
  Inventory as of this Action Requested Previously Approved
04/30/2018 36 Months From Approved 04/30/2015
5,000 0 5,000
2,500 0 2,500
0 0 0

RI 20-120 collects information from annuitants whose marriages have ended and who request an annuity paid at the unreduced rate without provisions for a survivor benefit.

US Code: 5 USC Section 8419(b) Name of Law: Survivor reductions; Computation
   US Code: 5 USC Section 8339(j)(5)(A) and (B) Name of Law: Computation of Annuity
  
None

Not associated with rulemaking

  79 FR 41601 07/16/2014
80 FR 1976 01/14/2015
No

1
IC Title Form No. Form Name
RI 20-120, Request for Change to Unreduced Annuity RI 20-120 Request for Change to Unreduced Annuity

  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 5,000 5,000 0 0 0 0
Annual Time Burden (Hours) 2,500 2,500 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$36,800
No
No
No
No
No
Uncollected
Valecia Winston 202 606-2625 valecia.winston@opm.gov

  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.
02/09/2015


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