Marital Status Certification Survey

Marital Status Certification

Documents and Forms

Document Name Document Type
Form RI 25-7 Marital Status Certification Survey Form and Instruction
RI 25-7 Marital Status Certification RI25-007_2021_06.pdf www.opm.gov Form and Instruction
RI 25-7 Marital Status Certification RI25-007_2019_05.pdf www.opm.gov Form and Instruction
RI 25-007_2023_01_MarkUp.pdf Mock ICR IC Document
RI25-007_Justification_NonSubstantial_NoMaterialChange.docx Justification IC Document

Information Collection (IC) Details

IC Title:	Marital Status Certification Survey	Agency IC Tracking Number:	RI 25-7

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 842.611-842.612 5 CFR 831.641-831.642

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	RI 25-7	Marital Status Certification	RI25-007_2021_06.pdf	www.opm.gov	Yes	No	Fillable Printable
Form and Instruction	RI 25-7	Marital Status Certification	RI25-007_2019_05.pdf	www.opm.gov	Yes	No	Fillable Printable

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: 24,000	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	24,000	24,000
Annual IC Time Burden (Hours)	6,000	6,000
Annual IC Cost Burden (Dollars)	161,400	161,400

Documents for IC

Title	Document	Date Uploaded
Mock ICR	RI 25-007_2023_01_MarkUp.pdf	07/26/2023
Justification	RI25-007_Justification_NonSubstantial_NoMaterialChange.docx	07/26/2023

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