View Information Collection (IC)

View Information Collection (IC)

IC Title:	Financial Resources Questionnaires, Notices of Amount Due Because of Annuity Overpayment	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 845 5 CFR 831 Subpart M and N

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	RI 34-1	Financial Resources Questionnaire	RI34-001_March2008.pdf		No		Fillable Printable
Form and Instruction	RI 34-3	Notice of Amount Due Because of Annuity Overpayment	RI34-003_March2008.pdf		No		Fillable Printable
Form and Instruction	RI 34-17	Financial Resources Questionnaire, FEGLI Premiums Underpaid	RI 34-17(12-08).pdf		No		Fillable Printable
Form and Instruction	RI 34-19	Notice of Amount Due Because of FEGLI Premium Underpayment	RI34-19.pdf		No		Fillable Printable
Form and Instruction	RI 34-18	Financial Resources Questionnaire FEHB Premiums Underpaid	RI 34-18.pdf		No		Fillable Printable
Form and Instruction	RI 34-20	Notice of Amount Due Because of FEHB Premium Underpayment	RI 34-20 October 2009.pdf		No		Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title: OPM/Central-1	FR Citation: 73 FR 15013

Number of Respondents: 2,081	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 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	2,081	0	0	0	0	2,081
Annual IC Time Burden (Hours)	2,081	0	0	0	0	2,081
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
RI 34-1 Markup	RI34-1_MarkUp.pdf	06/02/2009
RI 34-3 Markup	RI34-3_MarkUp.pdf	06/02/2009
RI 34-19 Markup	RI34-19 Markup.pdf	06/25/2009
RI 34-3 differences	RI34-003 differences.pdf	06/25/2009
NOA	Nonsubstantive change NOA.pdf	06/25/2009
RI 34-18 October 2009 Mark up	RI 34-18 October 2009 Mark up.pdf	10/27/2009
RI 34-20 October 2009 Mark up	RI 34-20 October 2009 Markup.pdf	10/27/2009

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.