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Federal forms, ICRs, and supporting documents

Information Collection Request

Financial Resources Questionnaire, Notice of Amount Due Because of Annuity Overpayment

ICR 200803-3206-001 · OMB 3206-0167 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form RI 34-1 Financial Resources Questionnaire, Notice of Amount Due Because of Annuity Overpayment Form and Instruction Modified Repair queued
RI34-003_MarkUp.pdf Supplementary Document Uploaded 2008-03-05 Repair queued
RI34-001_MarkUp.pdf Supplementary Document Uploaded 2008-03-05 Available
Justification.doc Justification for No Material/Nonsubstantive Change Uploaded 2008-03-05 Available
IC Document Collections
IC IDCollectionTypeStatusForm
33642 Financial Resources Questionnaire, Notice of Amount Due Because of Annuity Overpayment Form and Instruction Modified
ICR Details
3206-0167 200803-3206-001
Historical Active 200711-3206-006
OPM
Financial Resources Questionnaire, Notice of Amount Due Because of Annuity Overpayment
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 04/03/2008
Retrieve Notice of Action (NOA) 03/07/2008
  Inventory as of this Action Requested Previously Approved
10/31/2008 10/31/2008 10/31/2008
2,081 0 2,081
2,081 0 2,081
0 0 0
RI 34-1 collects detailed financial information so OPM can determine whether to agree to waiver, compromise, or adjustment of the collection of erroneous payments from the Civil Service Retirement and Disability Fund. RI 34-3 informs the annuitant about the overpayment and collects information.
None
None
Not associated with rulemaking
No
  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 2,081 0 0 0 0
Annual Time Burden (Hours) 2,081 2,081 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Mary Smith-Toomey 202 606-8358 [email protected]
  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.
03/07/2008