View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 3206-0034	ICR Reference No: 202212-3206-003
Status: Active	Previous ICR Reference No: 202112-3206-002
Agency/Subagency: OPM	Agency Tracking No: RI 30-2, Annuitant's Report of Earned Income
Title: RI 30-2, Annuitant's Report of Earned Income
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: 02/22/2024
	Date Received in OIRA: 12/19/2022
Terms of Clearance: The collection is approved based on the revised materials provided by the Agency.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2027	36 Months From Approved	02/29/2024
Responses	59,081	0	21,000
Time Burden (Hours)	16,650	0	12,250
Cost Burden (Dollars)	500,277	0	328,913

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	59,081	21,000	38,081
Annual Time Burden (Hours)	16,650	12,250	4,400
Annual Cost Burden (Dollars)	500,277	328,913	171,364

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: We estimate 21,000 paper forms of RI 30-2 are processed annually. This form takes approximately 35 minutes to complete, the annual burden is 12,250 hours. Approximately 24,040 Services Online forms are processed annually. This form takes approximately 10 minutes to complete, the annual burden is 1,995 hours. Approximately 14,041 electronic forms are processed annually. This form takes approximately 10 minutes to complete, the annual burden is 2,340 hours.

Annual Cost to Federal Government: $40,900

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Demetrius Jones 202 606-5203 demetrius.jones@opm.gov

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