OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Representative Payee Application/Information Necessary for a Competency Determination

ICR 201712-3206-014 · OMB 3206-0140 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form RI 20-7 Representative Payee Application/Information Necessary for a Competency Determination Form and Instruction Modified Available
FACES 2017 FINAL 12212017signed.pdf Supplementary Document Uploaded 2017-12-28 Available
ARS PIA Final 12212017signed.pdf Supplementary Document Uploaded 2017-12-28 Available
RI 20-7 Regs.pdf Supplementary Document Uploaded 2017-12-28 Available
RI20-007_30DayFRNPublished_2017_12_05.pdf Supplementary Document Uploaded 2017-12-28 Available
RI20-007_60DayFRN_Published_2017_04_13.pdf Supplementary Document Uploaded 2017-12-28 Available
RI20-007_RI30-003_OMBSupportingStmt_2018_01_19.docx Supporting Statement A Uploaded 2018-01-19 Available
IC Document Collections
IC IDCollectionTypeStatusForm
33606 Representative Payee Application/Information Necessary for a Competency Determination Form and Instruction Modified
ICR Details
3206-0140 201712-3206-014
Active 201606-3206-006
OPM RI 20-7/RI 30-3
Representative Payee Application/Information Necessary for a Competency Determination
Revision of a currently approved collection   No
Regular
Approved with change 01/30/2018
Retrieve Notice of Action (NOA) 12/29/2017
This collection is approved based on the revised materials provided by the Agency.
  Inventory as of this Action Requested Previously Approved
01/31/2021 36 Months From Approved 01/31/2018
12,480 0 12,480
6,490 0 6,490
0 0 0
RI 20-7, Representative Payee Application, is used by the Civil Service Retirement System (CSRS) and the Federal Employees Retirement System (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, Information Necessary for a Competency Determination, collects medical information regarding the annuitant's competency for OPM's use in evaluating the annuitant's condition.
US Code: 5 USC Chapter 83 Section 8344 Name of Law: CSRS, Annuities & Pay on Reemployment
   US Code: 5 USC Chapter 83 Section 8345 Name of Law: CSRS, Payment of Benefits; commencement, termination, and waiver of annuity
   US Code: 5 USC Chapter 84 Section 8466 Name of Law: FERS, Application for Benefits
  
None
Not associated with rulemaking
  82 FR 17891 04/13/2017
82 FR 57487 12/05/2017
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 12,480 12,480 0 0 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
$198,850
No
    Yes
    Yes
No
No
No
Uncollected
Charles Conyers 202 606-0125 [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.
12/29/2017