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Federal forms, ICRs, and supporting documents

Information Collection Request

REINSTATEMENT OF DISABILITY ANNUITY PREVIOUSLY TERMINATED BECAUSE OF RESTORATION TO EARNING CAPACITY

ICR 199304-3206-001 · OMB 3206-0138 · Historical Active

Forms and Documents
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No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
156929 REINSTATEMENT OF DISABILITY ANNUITY PREVIOUSLY TERMINATED BECAUSE OF RESTORATION TO EARNING CAPACITY Form Migrated
ICR Details
3206-0138 199304-3206-001
Historical Active 199006-3206-001
OPM
REINSTATEMENT OF DISABILITY ANNUITY PREVIOUSLY TERMINATED BECAUSE OF RESTORATION TO EARNING CAPACITY
Extension without change of a currently approved collection   No
Regular
Approved without change 07/22/1993
Retrieve Notice of Action (NOA) 04/29/1993
Approved, as amended by changes submitted by OPM on 7-22-93.
  Inventory as of this Action Requested Previously Approved
07/31/1996 07/31/1996 07/31/1993
200 0 200
200 0 200
0 0 0
THIS NOTE INFORMS FORMER DISABILITY ANNUITANTS OF THEIR RIGHT TO REQUEST RESTORATION UNDER TITLE 5, U.S.C., SECTION 8337. IT ALSO SPECIFIES THE CONDITIONS TO BE MET AND THE DOCUMENTATION REQUIRED FOR PERSON TO REQUEST REINSTATEMENT.
None
None
No
1
IC Title Form No. Form Name
REINSTATEMENT OF DISABILITY ANNUITY PREVIOUSLY TERMINATED BECAUSE OF RESTORATION TO EARNING CAPACITY RI 30-9
  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 200 200 0 0 0 0
Annual Time Burden (Hours) 200 200 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  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.
04/29/1993