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

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.