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Federal forms, ICRs, and supporting documents

Information Collection Request

RI 20-123, Request for Case Review for Enhanced Disability Annuity Benefit

ICR 202511-3206-004 · OMB 3206-0254 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form RI120-123 Request for Case Review for Enhanced Disability Annuity Benefit Form and Instruction Modified Repair queued
Form RI120-123 RI 20-123, Request for Case Review for Enhanced Disability Annuity Benefit Form and Instruction Modified Repair queued
RI20-123_SupportingStatement_2024_04_29_Final.docx Supporting Statement A Uploaded 2024-04-29 Repair queued
RI20-123_SupportingStatement_2024_04_29_Final.docx Supporting Statement A Uploaded 2024-04-29 Missing upstream
E8-5659.pdf Supplementary Document Uploaded 2022-11-15 Repair queued
E8-5659.pdf Supplementary Document Uploaded 2022-11-15 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
194854 RI 20-123, Request for Case Review for Enhanced Disability Annuity Benefit Form and Instruction ModifiedRequest for Case Review for Enhanced Disability Annuity Benefit
194854 RI 20-123, Request for Case Review for Enhanced Disability Annuity Benefit Form and Instruction Modified
ICR Details
3206-0254 202511-3206-004
Active 202211-3206-004
OPM RI 20-123
RI 20-123, Request for Case Review for Enhanced Disability Annuity Benefit
Revision of a currently approved collection   No
Regular
Approved without change 02/26/2026
Retrieve Notice of Action (NOA) 11/28/2025
  Inventory as of this Action Requested Previously Approved
02/28/2029 36 Months From Approved 02/28/2026
100 0 100
8 0 8
300 0 225
Form RI 20-123, Request for Case Review for Enhanced Disability Annuity Benefit is used by retirees separated for disability and the survivors of retirees separated for disability to request that Retirement Operations review the computations of disability annuities to include the formulae provided in law for individuals who performed service as law enforcement officers, firefighters, nuclear materials carriers, air traffic controllers, Congressional employees, and Capitol and Supreme Court police.
US Code: 5 USC 8452 Name of Law: Computation of disability annuity (FERS)
   US Code: 5 USC 8339 Name of Law: Computation of Annuity (CSRS)
   US Code: 5 USC 8337 Name of Law: Disability Retirement (CSRS)
  
None
Not associated with rulemaking
  90 FR 23384 11/26/2025
90 FR 54407 06/02/2025
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 100 100 0 0 0 0
Annual Time Burden (Hours) 8 8 0 0 0 0
Annual Cost Burden (Dollars) 300 225 0 75 0 0
No
No
$5,550
No
    Yes
    No
No
No
No
No
Alexys Stanley 202 606-1183 [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.
11/28/2025