OMB control number

RI 34-1, 34-17, Financial Resources Questionnaire, RI 34-3, RI 34-19, Notice of Amount Due Because of Annuity Overpayment and RI 34-20, Notice of Amount Due Because of FEHB Premium Underpayment.

OMB 3206-0167 · OPM.

OMB 3206-0167

The Financial Resources Questionnaire form (RI 34-1) is used to collect financial data from overpaid individuals. Specific change: The ONLY update to RI 34-1 is the relocation of room 3347 to 2H17.

The latest form for RI 34-1, 34-17, Financial Resources Questionnaire, RI 34-3, RI 34-19, Notice of Amount Due Because of Annuity Overpayment and RI 34-20, Notice of Amount Due Because of FEHB Premium Underpayment. expires 2021-08-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form RI 34-1 Notices of Amount Due Because of Annuity Overpayment Form and Instruction
JUSTIFICATION FOR CHANGES TO RI 34-1 (1).docx Justification for No Material/Nonsubstantive Change
Notices of Amount Due Because of Annuity Overpayment Form and Instruction

All Historical Document Collections

202205-3206-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2022-05-20
202108-3206-005 Approved without change	Revision of a currently approved collection	2021-08-31
202003-3206-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2020-03-23
201803-3206-008 Approved without change	Revision of a currently approved collection	2018-06-28
201502-3206-005 Approved without change	Revision of a currently approved collection	2015-02-09
201206-3206-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2012-06-18
201202-3206-003 Approved without change	Revision of a currently approved collection	2012-02-13
200910-3206-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2009-11-02
200901-3206-001 Approved without change	Revision of a currently approved collection	2009-06-29
200803-3206-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2008-03-07
200711-3206-006 Approved without change	No material or nonsubstantive change to a currently approved collection	2007-11-09
200611-3206-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2006-11-22
200508-3206-001 Approved without change	Revision of a currently approved collection	2005-08-02
200207-3206-003 Approved with change	Revision of a currently approved collection	2002-07-03
199907-3206-006 Approved without change	Revision of a currently approved collection	1999-07-06
199605-3206-004 Approved without change	Revision of a currently approved collection	1996-05-30
199308-3206-008 Approved with change	No material or nonsubstantive change to a currently approved collection	1993-08-25
199306-3206-005 Approved without change	Revision of a currently approved collection	1993-06-15
199209-3206-003 Approved without change	Revision of a currently approved collection	1992-09-22
198910-3206-002 Approved without change	Extension without change of a currently approved collection	1989-10-25
198906-3206-005 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-06-28
198905-3206-005 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-05-05
198611-3206-002 Approved without change	New collection (Request for a new OMB Control Number)	1986-11-14