Information Collection

Information and Instructions on Your Reconsideration Rights

IC 33757 under ICR 200911-3206-006 · OMB 3206-0237.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0237 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Ri38-047_November2009.pdf www.opm.gov/retire/pubs/pamphlets/forms/RI38-47.pdf	Instruction
Ri38-047_March2004.pdf Ri38-047_March2004	IC Document
Ri38-047_March2004_High-Light.pdf Ri38-047_March2004_High-Light	IC Document
Ri38-047_November2009_high-light.pdf Ri38-047_November2009_high-light	IC Document

IC Title:

Information and Instructions on Your Reconsideration Rights

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 831.109

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			Ri38-047_November2009.pdf	http://www.opm.gov/retire/pubs/pamphlets/forms/RI38-47.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: 3,100

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	3,100	3,100
Annual IC Time Burden (Hours)	2,325	2,325
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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