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Financial Resources Questionnaire, Notice of Amount Due Because of Annuity Overpayment
Financial Resources Questionnaire, Notice of Amount Due Because of Annuity Overpayment
OMB: 3206-0167
IC ID: 33642
OMB.report
OPM
OMB 3206-0167
ICR 200611-3206-002
IC 33642
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0167 can be found here:
2022-05-20 - No material or nonsubstantive change to a currently approved collection
2021-08-31 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form RI-34-3
Financial Resources Questionnaire, Notice of Amount Due Because of Annuity Overpayment
Form
RI-34-3 Notice of Amount Due Because of Annuity Overpayment
RI34-3original06.pdf
Form
RI34-3.pdf.04.pdf
RI 34-3 with highlighted changes
IC Document
RI34-3markup.pdf
RI 34-3 (06) with highlighted revisions
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Financial Resources Questionnaire, Notice of Amount Due Because of Annuity Overpayment
Agency IC Tracking Number:
Is this a Common Form?
Yes
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
RI-34-3
Notice of Amount Due Because of Annuity Overpayment
RI34-3original06.pdf
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
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 34-3 with highlighted changes
RI34-3.pdf.04.pdf
11/21/2006
RI 34-3 (06) with highlighted revisions
RI34-3markup.pdf
11/21/2006
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.