Information Collection

RI 30-9, Reinstatement of Disability Annuity Previously Terminated Because of Restoration to Earning Capacity

IC 33603 under ICR 200911-3206-002 · OMB 3206-0138.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0138 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
RI30-009_September2009.pdf www.opm.gov/retire/pubs/pamphlets/forms/RI30-9.pdf	Instruction
RI 30-9 Sep 09 Mark up.pdf RI 30-9 Sep 09 Mark up	IC Document
RI 30-9 August 05 Markup.pdf RI 30-9 August 05 Markup	IC Document

IC Title:

RI 30-9, Reinstatement of Disability Annuity Previously Terminated Because of Restoration to Earning Capacity

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 831.1211 5 CFR 844.404

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
Instruction			RI30-009_September2009.pdf	www.opm.gov/retire/pubs/pamphlets/forms/RI30-9.pdf	Yes	No	Printable Only

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: 200

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	200	200
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
RI 30-9 Sep 09 Mark up	RI 30-9 Sep 09 Mark up.pdf	11/04/2009
RI 30-9 August 05 Markup	RI 30-9 August 05 Markup.pdf	11/04/2009

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