OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Annuity Supplement Earnings Report

IC 33678 under ICR 200803-3206-002 · OMB 3206-0194.

Documents and Forms
Document Name
Document Type
Form
Form
IC Document
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Information Collection (IC) Details

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Annuity Supplement Earnings Report
 
No Modified
 
Required to Obtain or Retain Benefits
 
5 CFR 842.504 5 CFR 842.505

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form RI-92-22 2007 Annuity Supplement Earnings Report RI92-022_March_2008.pdf Yes No Fillable Printable

General Government Executive Functions

OPM/Central-1  65 FR 25775

13,000 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 13,000 0 0 0 0 13,000
Annual IC Time Burden (Hours) 3,250 0 0 0 0 3,250
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
RI 92-22 Annuity Supplement Earnings Report January 2007 Markup RI92-022_January_2007_MarkUp.pdf 03/05/2008
RI 92-22 Annuity Supplement Earnings Report March 2008 Markup RI92-022_March_2008_MarkUp.pdf 03/05/2008
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.