Information Collection

RI 38-117, Rollover Election

IC 33708 under ICR 200810-3206-008 · OMB 3206-0212.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0212 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form RI 38-117 RI 38-117, Rollover Election	Form and Instruction
RI37-022_November2008.pdf	Instruction
Ri38-118 PA & PRA statements[1].pdf	Instruction
RI 38-117 Rollover Election Form RI38-117_November2008.pdf	Form and Instruction

IC Title:

RI 38-117, Rollover Election

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form and Instruction	RI 38-117	Rollover Election Form	RI38-117_November2008.pdf	No	Fillable Printable
Instruction			RI37-022_November2008.pdf	No	Printable Only
Instruction			Ri38-118 PA & PRA statements[1].pdf	No	Printable Only

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title: OPM/Central-1, Civil Service Retirement and Insurance Records

FR Citation: 73 FR 15013

Number of Respondents: 1,500

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	1,500	1,500
Annual IC Time Burden (Hours)	750	750
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.