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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 200803-3206-001
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⚠️ Notice: This information collection may be referencing outdated material.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 34-1
Financial Resources Questionnaire, Notice of Amount Due Because of Annuity Overpayment
Form and Instruction
RI 34-1 Financial Resources Questionnaire
RI 34-1 revised Aug 2007.pdf
Form and Instruction
RI 34-3 Notice of Amount Due Because of Overpayment
RI34-003_11_2006.pdf
Form and Instruction
RI34-001_MarkUp.pdf
RI 34-1, Financial Resources Questionnaire. 2007 and 2008 Markups
IC Document
RI34-003_MarkUp.pdf
RI 34-3, Notice of Amount Due Because of Overpayment
IC Document
Justification.doc
Justification for RI 34-1 and RI 34-2
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?
No
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 and Instruction
RI 34-1
Financial Resources Questionnaire
RI 34-1 revised Aug 2007.pdf
Yes
No
Fillable Printable
Form and Instruction
RI 34-3
Notice of Amount Due Because of Overpayment
RI34-003_11_2006.pdf
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Executive Functions
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 34-1, Financial Resources Questionnaire. 2007 and 2008 Markups
RI34-001_MarkUp.pdf
03/05/2008
RI 34-3, Notice of Amount Due Because of Overpayment
RI34-003_MarkUp.pdf
03/05/2008
Justification for RI 34-1 and RI 34-2
Justification.doc
03/05/2008
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.