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Federal forms, ICRs, and supporting documents

Information Collection

Request to Disability Annuitant for Information on Physical Condition and Employment

IC 33615 under ICR 202404-3206-001 · OMB 3206-0143.

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

View Information Collection (IC)

Request to Disability Annuitant for Information on Physical Condition and Employment RI 30-1
 
No Modified
 
Required to Obtain or Retain Benefits
 
5 CFR 844.401 through 844.403 5 CFR 844.303 through 844.304 5 CFR 831.1206 through 831.1211

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction RI 30-1 Request to Disability Annuitant for Information on Physical Condition and Employment RI30-001_2024_04_Revised.pdf www.opm.gov Yes No Fillable Printable

General Government Executive Functions

OPM/Central-1  75 FR 15013

8,000 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 8,000 0 0 0 0 8,000
Annual IC Time Burden (Hours) 8,000 0 0 0 0 8,000
Annual IC Cost Burden (Dollars) 215,000 0 0 0 0 215,000

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