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Federal forms, ICRs, and supporting documents

Information Collection

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

IC 194854 under ICR 202511-3206-004 · OMB 3206-0254.

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

View Information Collection (IC)

RI 20-123, Request for Case Review for Enhanced Disability Annuity Benefit
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction RI120-123 Request for Case Review for Enhanced Disability Annuity Benefit RI 20-123_2025.pdf opm.gov Yes No Printable Only

General Government Executive Functions

OPM/Central-1  73 FR 15013

100 0
   
Individuals or Households
 
   100 %

  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 100 0 0 0 0 100
Annual IC Time Burden (Hours) 8 0 0 0 0 8
Annual IC Cost Burden (Dollars) 300 0 75 0 0 225

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