OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

RI 20-7 - Representative Payee Application RI 30-3 - Information Necessary for a Competency Determination

ICR 200403-3206-002 · OMB 3206-0140 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
33606 RI 20-7 - Representative Payee Application RI 30-3 - Information Necessary for a Competency Determination Form Migrated
ICR Details
3206-0140 200403-3206-002
Historical Active 200101-3206-003
OPM
RI 20-7 - Representative Payee Application RI 30-3 - Information Necessary for a Competency Determination
Revision of a currently approved collection   No
Regular
Approved without change 08/02/2004
Retrieve Notice of Action (NOA) 03/26/2004
  Inventory as of this Action Requested Previously Approved
08/31/2007 08/31/2007 07/31/2004
12,480 0 12,730
6,490 0 6,490
0 0 0
RI 20-7 is used by CSRS and FERS to collect information from persons applying to be fiduciaries for annuitants or survivor annuitants who appear to be incapable of handling their own funds or for minor children. RI 30-3 collects medical information regarding the annuitant's competency for OPM's used in evaluating the annuitant's condition.
None
None
No
1
IC Title Form No. Form Name
RI 20-7 - Representative Payee Application RI 30-3 - Information Necessary for a Competency Determination RI-20-7, RI-30-3
  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 12,480 12,730 0 -250 0 0
Annual Time Burden (Hours) 6,490 6,490 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.
03/26/2004