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Reinstatement of Disability Annuity Previously Terminated Because of Restoration to Earning Capacity

IC 33603 under ICR 202404-3206-005 · OMB 3206-0138.

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

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Reinstatement of Disability Annuity Previously Terminated Because of Restoration to Earning Capacity RI 30-9
 
No Modified
 
Voluntary
 
5 CFR 844.404 5 CFR 831.1211

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction RI 30-9 Reinstatement of Disability Annuity Previously Terminated Because of Restoration to Earning Capacity RI30-009_2024_04.pdf www.opm.gov Yes No Printable Only

General Government Executive Functions

OPM/Central-1  73 FR 15013

200 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 200 0 0 0 0 200
Annual IC Time Burden (Hours) 200 0 0 0 0 200
Annual IC Cost Burden (Dollars) 5,375 0 0 0 0 5,375

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