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###### Office of Personnel Management

          - [OMB Control No. 3206-0174; Forms RI 20-63, RI 20-116 and RI 20-117]

# AGENCY:

Office of Personnel Management.

# ACTION:

Notice.

# SUMMARY:

In accordance with the Paperwork Reduction Act of 1995 (Pub. L. 104-13, May 22, 1995), this notice announces that the Office of Personnel Management (OPM) intends to submit to the Office of Management and Budget (OMB) a request for review of a currently approved information collection. “Survivor Annuity Election for a Spouse” (OMB Control No. 3206-0174; Form RI 20-63), is used by annuitants to elect a reduced annuity with a survivor annuity for their spouse. (OMB Control No. 3206-0174; Form RI 20-116) is a cover letter for RI 20-63 giving information about the cost to elect less than the maximum survivor annuity. This letter may be used to decline to elect. (OMB Control No. 3206-0174; RI 20-117) is a cover letter for RI 20-63 giving information about the cost to elect the maximum survivor annuity. This letter may be used to ask for more information or to decline to elect.

RI 20-117 is accompanied by RI 20-63A, Information on Electing a Survivor Annuity for Your Spouse, or RI 20-63B, Information on Electing a Survivor Annuity for Your Spouse When You Are Providing a Former Spouse Annuity. Both booklets explain the election.  RI 20-63A is for annuitants who do not have a former spouse who is entitled to a survivor annuity benefit. RI 20-63B is for those who do have a former spouse who is entitled to a benefit. These booklets do not require OMB clearance. They have been included because they provide the annuitant additional information.

Comments are particularly invited on: whether this collection of information is necessary for the proper performance of functions of the Office of Personnel Management, and whether it will have practical utility; whether our estimate of the public burden of this collection of information is accurate, and based on valid assumptions and methodology; and ways in which we can minimize the burden of the collection of information on those who are to respond, through the use of appropriate technological collection techniques or other forms of information technology.

We estimate 2,400 RI 20-63 forms are returned each year electing survivor annuities and 200 annuitants return the cover letter to ask for information about the cost to elect less than the maximum survivor annuity or to refuse to provide any survivor benefit. We estimate this form takes an average of 45 minutes per response to complete the form with a burden of 1,800 hours and 10 minutes to complete the letter, which gives a burden of 34 hours. The total burden for RI 20-63 is 1,834 hours.

                        For copies of this proposal, contact Cyrus S. Benson on (202) 606-4808, FAX (202) 606-0910 or via E-mail to                         *Cyrus.Benson@opm.gov.*                         Please include a mailing address with your request.                    

# DATES:

Comments on this proposal should be received within 60 calendar days from the date of this publication.

# ADDRESSES:

Send or deliver comments to James K. Freiert,  Deputy Assistant Director, Retirement Services Program, Center for Retirement and Insurance Services, U.S. Office of Personnel Management,  1900 E Street, NW., Room 3305,  Washington, DC 20415-3500.

For information regarding administrative coordination contact: Cyrus S. Benson, Team Leader, Publications Team, RIS Support Services/Support Group, U.S. Office of Personnel Management, 1900 E Street, NW., Room 4H28, Washington, DC 20415.

U.S. Office of Personnel Management.

John Berry,

Director.

[FR Doc. 2010-1112 Filed 1-21-10; 8:45 am]

BILLING CODE 6325-38-P