RI 38-115, Representative Payee Survey

ICR 201106-3206-004

OMB: 3206-0208

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Unchanged
Supporting Statement A
2011-06-13
Supplementary Document
2011-06-13
Supplementary Document
2011-06-13
Supplementary Document
2011-06-13
IC Document Collections
IC ID
Document
Title
Status
33701 Unchanged
ICR Details
3206-0208 201106-3206-004
Historical Active 201005-3206-002
OPM
RI 38-115, Representative Payee Survey
Extension without change of a currently approved collection   No
Regular
Approved without change 07/29/2011
Retrieve Notice of Action (NOA) 06/13/2011
  Inventory as of this Action Requested Previously Approved
07/31/2014 36 Months From Approved 09/30/2011
11,000 0 11,000
3,667 0 3,667
0 0 0

RI 38-115 is designed to collect information about how the benefits paid to a representative payee have been used or conserved for the benefit of the incompetent annuitant.

US Code: 5 USC Chapter 83, Section 8347(a) Name of Law: CSRS, Administration; regulations
   US Code: 5 USC Chapter 84, Section 8461(g) Name of Law: FERS, Authority of the Office of Personnel Management.
   US Code: 5 USC Chapter 83, Section 8345(e) Name of Law: CSRS, Payment of benefits; commencement, termination, and waiver of annuity
   US Code: 5 USC Chapter 84, Section 8466(c) Name of Law: FERS, Application for Benefits
  
None

Not associated with rulemaking

  76 FR 15350 03/21/2011
76 FR 34108 06/10/2011
No

1
IC Title Form No. Form Name
Representative Payee Survey RI 38-115 Representative Payee Survey

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 11,000 11,000 0 0 0 0
Annual Time Burden (Hours) 3,667 3,667 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$34,800
No
No
No
No
No
Uncollected
Miles Windsor 202 606-8358 [email protected]

  No

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.
06/13/2011


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