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Federal forms, ICRs, and supporting documents

Information Collection

Notices of Amount Due Because of Annuity Overpayment

IC 33642 under ICR 202205-3206-001 · OMB 3206-0167.

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Notices of Amount Due Because of Annuity Overpayment
 
No Modified
 
Required to Obtain or Retain Benefits
 
5 CFR 845 5 CFR 831 Subpart M and N

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction RI 34-1 Financial Resources Questionnaire RI34-001_2021_08_MarkUp.pdf Yes No Fillable Printable
Form and Instruction RI 34-1 Financial Resources Questionnaire RI34-001_2022_07_Revised.pdf Yes No Fillable Printable
Form and Instruction RI 34-3 Notice of Amount Due Because Of Annuity Overpayment RI34-003_2021_08_MarkUp.pdf Yes No Paper Only
Form and Instruction RI 34-3 Notice of Amount Due Because Of Annuity Overpayment RI34-003_2022_07_Revised.pdf Yes No Paper Only
Form and Instruction RI 34-17 Financial Resources Questionnaire - Federal Employees’ Group Life Insurance Premiums Underpaid RI34-017_2021_08_MarkUp.pdf Yes No Fillable Printable
Form and Instruction RI 34-17 Financial Resources Questionnaire - Federal Employees’ Group Life Insurance Premiums Underpaid RI34-017_2022_07_Revised.pdf Yes No Fillable Printable
Form and Instruction RI 34-18 Financial Resources Questionnaire - Federal Employees Health Benefits Premiums Underpaid RI34-018_2021_08_MarkUp.pdf Yes No Fillable Printable
Form and Instruction RI 34-18 Financial Resources Questionnaire - Federal Employees’ Group Life Insurance Premiums Underpaid RI34-018_2022_07_Revised.pdf Yes No Fillable Printable
Form and Instruction RI 34-19 Notice of Amount Due Because of FEGLI Premium Underpayment RI34-019_2021_08_MarkUp.pdf No   Paper Only
Form and Instruction RI 34-19 Notice of Amount Due Because of FEGLI Premium Underpayment RI34-019_2022_07_Revised.pdf No   Paper Only
Form and Instruction RI 34-20 Notice of Amount Due Because of FEHB Premium Underpayment RI34-020_2021_08_MarkUp.pdf No   Paper Only
Form and Instruction RI 34-20 Notice of Amount Due Because of FEHB Premium Underpayment RI34-020_2022_07_Revised.pdf No   Paper Only

General Government Executive Functions

OPM/Central-1  73 FR 15013

2,361 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 2,361 0 0 0 0 2,361
Annual IC Time Burden (Hours) 2,361 0 0 0 0 2,361
Annual IC Cost Burden (Dollars) 63,452 0 0 0 0 63,452

Title Document Date Uploaded
Justification JUSTIFICATION FOR CHANGES TO RI 34-1 (1).docx 05/20/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.