Information Collection

Reinstatement of Disability Annuity Previously Terminated Because of Restoration to Earning Capacity

IC 33603 under ICR 200609-3206-002 · OMB 3206-0138.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0138 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
RI30-9(8-05).pdf www.opm.gov/forms/html/opm.asp	Instruction
RI30-9(8-05) changes.pdf	Other-Highlighted changes
RI30-9(7-03) highlights.pdf	Other-Highlighted changes

IC Title:

Reinstatement of Disability Annuity Previously Terminated Because of Restoration to Earning Capacity

Agency IC Tracking Number:

Is this a Common Form? Yes

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 844.404 5 CFR 831.1211

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction	RI30-9(8-05).pdf	http://www.opm.gov/forms/html/opm.asp	Yes	No	Printable Only
Other-Highlighted changes	RI30-9(8-05) changes.pdf		No		Printable Only
Other-Highlighted changes	RI30-9(7-03) highlights.pdf		No		Printable Only

Line of Business:

Subfunction:

Privacy Act System of Records

Title: OPM Central 1 - Retirement & Insurance

FR Citation: 65 FR 25775

Number of Respondents: 200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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