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Federal forms, ICRs, and supporting documents

Information Collection Request

FINANCIAL RESOURCES QUESTIONNAIRE AND NOTICE OF DEBT DUE BECAUSE OF ANNUITY OVERPAYMENT

ICR 199306-3206-005 · OMB 3206-0167 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
157012 FINANCIAL RESOURCES QUESTIONNAIRE AND NOTICE OF DEBT DUE BECAUSE OF ANNUITY OVERPAYMENT Form Migrated
ICR Details
3206-0167 199306-3206-005
Historical Active 199209-3206-003
OPM
FINANCIAL RESOURCES QUESTIONNAIRE AND NOTICE OF DEBT DUE BECAUSE OF ANNUITY OVERPAYMENT
Revision of a currently approved collection   No
Regular
Approved without change 07/23/1993
Retrieve Notice of Action (NOA) 06/15/1993
  Inventory as of this Action Requested Previously Approved
04/30/1996 04/30/1996 10/31/1995
2,081 0 8,200
2,081 0 8,200
0 0 0
RI 34-1 COLLECTS DETAILED FINANCIAL INFORMATION FOR USE BY OPM IN DETERMINING WHETHER TO AGREE TO WAIVER, COMPROMISE, OR ADJUST THE COLLECTION OF ERRONEOUS PAYMENTS FROM THE CIVIL SERVICE RETIREMENT AND DISABILITY FUND. RI 34-3 INFORMS THE ANNUITANT THAT A DEBT IS DUE, DESCRIBES THE DEBT, AND COLLECTS INFORMATION FROM THE ANNUITANT ABOUT
None
None
No
1
IC Title Form No. Form Name
FINANCIAL RESOURCES QUESTIONNAIRE AND NOTICE OF DEBT DUE BECAUSE OF ANNUITY OVERPAYMENT RI 34-1
  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 2,081 8,200 0 0 -6,119 0
Annual Time Burden (Hours) 2,081 8,200 0 0 -6,119 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.
06/15/1993