View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 3206-0143	ICR Reference No: 201606-3206-005
Status: Historical Active	Previous ICR Reference No: 201303-3206-007
Agency/Subagency: OPM	Agency Tracking No:
Title: RI 30-1, Request to Disability Annuitant for Information on Physical Condition and Employment
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/12/2016
	Date Received in OIRA: 06/28/2016
Terms of Clearance: This collection is approved for a year only. When resubmitted, OPM should include the applicable SORN or PIA as well as determine if the privacy act statement should be revised.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2017	36 Months From Approved	12/31/2016
Responses	8,000	0	8,000
Time Burden (Hours)	8,000	0	8,000
Cost Burden (Dollars)	0	0	0

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