This collection is approved for a year only. When resubmitted, OPM should include the applicable SORN or PIA as well as determine if the privacy act statement should be revised.
Inventory as of this Action
Requested
Previously Approved
12/31/2017
36 Months From Approved
12/31/2016
8,000
0
8,000
8,000
0
8,000
0
0
0
Persons who are not yet age 60 and who are receiving disability annuity are subject to inquiry as to their medical condition as OPM deems reasonably necessary. RI 30-1 collects information as to whether the disabling condition has changed.
This ICR was revised to: (1) add a field for the claim number on page 2; (2) update the Room number; and (3) to update the zip code.
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.
RI30-001_OMBSupportingStatement_2016_05_02.docx
RI30-001_2016_06_MarkUp.pdf
Request to Disability Annuitant for Information on Physical Condition and Employment