Financial Resources Questionnaire,
forms RI 34-1, RI 34-17, and RI 34-18, collects detailed financial
information for use by OPM to determine whether to agree to a
waiver, compromise, or adjustment of the collection of erroneous
payments from the Civil Service Retirement and Disability Fund.
Notice of Amount Due Because Of Annuity Overpayment, forms RI 34-3,
RI 34-19, and RI 34-20, informs the annuitant about the overpayment
and collects information from the annuitant about how repayment
will be made. RI 34-17 and RI 34-19 are new forms created at the
request of the Office of the General Counsel and the Insurance
Policy Group to clearly differentiate between annuity overpayments
and insurance premium underpayments. RI 34-17 and RI 34-19 were
approved by OMB on 07/29/2009. RI 34-18 and RI 34-20 are new forms
created at the request of the Office of the General Counsel and the
Insurance Policy Group to clearly differentiate between annuity
overpayments and FEHB premium underpayments. We request OMB
approval for these forms.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.