RI 34-1, 34-17, Financial Resources Questionnaire, RI 34-3, RI 34-19, Notice of Amount Due Because of Annuity Overpayment and RI 34-20, Notice of Amount Due Because of FEHB Premium Underpayment.
ICR 202205-3206-001 · OMB 3206-0167 · Received in OIRA
RI 34-1, 34-17, Financial Resources Questionnaire, RI 34-3, RI 34-19, Notice of Amount Due Because of Annuity Overpayment and RI 34-20, Notice of Amount Due Because of FEHB Premium Underpayment.
No material or nonsubstantive change to a currently approved collection
No
Regular
05/20/2022
Requested
Previously Approved
10/31/2024
10/31/2024
2,361
2,361
2,361
2,361
63,452
63,452
Financial Resources Questionnaire (RI 34-1), Financial Resources Questionnaire - Federal Employeesâ Group Life Insurance Premiums Underpaid (RI 34-17), and Financial Resources Questionnaire - Federal Employees Health Benefits Premiums Underpaid (RI 34-18), collects detailed financial information for use by OPM to determine whether to agree to a waiver, compromise, or adjustment of the collection of erroneous payments from the Civil Service Retirement and Disability Fund. Notice of Amount Due Because Of Annuity Overpayment (RI 34-3), Notice of Amount Due Because of FEGLI Premium Underpayment (RI 34-19), and Notice of Amount Due Because of FEHB Premium Underpayment (RI 34-20), informs the annuitant about the overpayment and collects information from the annuitant about how repayment will be made.
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.
Form RI 34-1 Notices of Amount Due Because of Annuity Overpayment
JUSTIFICATION FOR CHANGES TO RI 34-1 (1).docx
Notices of Amount Due Because of Annuity Overpayment