RI 25-51 will be used by the Civil Service Retirement System solely to pay benefits to the widow(er) of an annuitant. This application is intended for use in immediately authorizing payments to an annuitant's widow or widower, based on the report of death, when our records show the decedent elected to provide benefits for the applicant. The Privacy Act Statement has been revised due to a systematic review by our Chief Privacy Officer.
The latest form for Civil Service Retirement System Survivor Annuitant Express Pay Application for Death Benefits expires 2023-11-30 and can be found here.
Document Name |
---|
Form and Instruction |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supporting Statement A |
Approved without change |
Revision of a currently approved collection | 2020-10-16 | |
Approved without change |
Reinstatement without change of a previously approved collection | 2017-05-15 | |
Approved without change |
Extension without change of a currently approved collection | 2014-02-18 | |
Approved without change |
No material or nonsubstantive change to a currently approved collection | 2011-06-06 | |
Approved without change |
Revision of a currently approved collection | 2010-11-02 | |
Approved without change |
Extension without change of a currently approved collection | 2007-11-09 | |
Approved without change |
Revision of a currently approved collection | 2004-10-08 | |
Approved without change |
Revision of a currently approved collection | 2001-07-13 | |
Approved without change |
New collection (Request for a new OMB Control Number) | 1998-04-24 |