Information Collection

Annuitant's Report of Earned Income

IC 33551 under ICR 200911-3206-001 · OMB 3206-0034.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0034 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form RI 30-2 Annuitant's Report of Earned Income	Form and Instruction
RI 30-2 Annuitant's Report of Earned Income for 2009 RI30-002_Jan_2010.pdf	Form and Instruction
RI30-002_Jan_2009_MarkUp.pdf RI30-002_Jan_2009_MarkUp	IC Document
RI30-002_Jan_2010 Markup.pdf RI30-002_Jan_2010MarkUp	IC Document

IC Title:

Annuitant's Report of Earned Income

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 5 CFR Ch I 831.1209 5 CFR Ch I 844.402 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	RI 30-2	Annuitant's Report of Earned Income for 2009	RI30-002_Jan_2010.pdf		No		Fillable Printable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title: OPM/Central-1

FR Citation: 73 FR 15013

Number of Respondents: 21,000

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	21,000	21,000
Annual IC Time Burden (Hours)	12,250	12,250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
RI30-002_Jan_2009_MarkUp	RI30-002_Jan_2009_MarkUp.pdf	11/04/2009
RI30-002_Jan_2010MarkUp	RI30-002_Jan_2010 Markup.pdf	11/04/2009

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.