RI 34-1, 34-17, Financial Resources Questionnaire, RI 34-3, RI 34-19, Notice of Amount Due Because of Annuity Overpayment

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form RI 34-1 Financial Resources Questionnaires, Notices of Amount Due Because of Annuity Overpayment	Form and Instruction	Modified	Available
30-day FRN.pdf	Supplementary Document	Uploaded 2012-02-09	Available
60-day FRN.pdf	Supplementary Document	Uploaded 2012-02-09	Available
RI 34-019 December 2008 Markup.pdf	Supplementary Document	Uploaded 2012-02-09	Available
RI 34-019 Dec 2012 markup.pdf	Supplementary Document	Uploaded 2012-02-09	Available
RI 34-017 Dec 2012 Markup.pdf	Supplementary Document	Uploaded 2012-02-09	Available
RI 34-017 (12-08) Markup.pdf	Supplementary Document	Uploaded 2012-02-09	Available
RI 34-003_March2008 Markup.pdf	Supplementary Document	Uploaded 2012-02-09	Available
RI 34-003 December 2012 Markup.pdf	Supplementary Document	Uploaded 2012-02-09	Available
RI 34-001_March2008 Markup.pdf	Supplementary Document	Uploaded 2012-02-09	Available
RI 34-001 Dec 2012 Markup.pdf	Supplementary Document	Uploaded 2012-02-09	Available
RI 34-1 SS.doc	Supporting Statement A	Uploaded 2012-02-09	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
33642	Financial Resources Questionnaires, Notices of Amount Due Because of Annuity Overpayment	Form and Instruction	Modified

ICR Details

OMB Control No: 3206-0167	ICR Reference No: 201202-3206-003
Status: Historical Active	Previous ICR Reference No: 200910-3206-001
Agency/Subagency: OPM	Agency Tracking No:
Title: RI 34-1, 34-17, Financial Resources Questionnaire, RI 34-3, RI 34-19, Notice of Amount Due Because of Annuity Overpayment
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/14/2012
	Date Received in OIRA: 02/13/2012
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2015	36 Months From Approved	07/31/2012
Responses	2,081	0	2,081
Time Burden (Hours)	2,081	0	2,081
Cost Burden (Dollars)	0	0	0

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Abstract: Financial Resources Questionnaire (RI 34-1), Financial Resources Questionnaire - Federal Employees' Group Life Insurance Premiums Underpaid (RI 34-17), 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 (RI 34-3) and Notice of Amount Due Because of FEGLI Premium Underpayment (RI 34-19), informs the annuitant about the overpayment and collects information from the annuitant about how repayment will be made. Minor changes were made to the forms: updated organization name, added email address.

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Authorizing Statute(s): US Code: 31 USC Section 3716 Name of Law: Administrative Offset
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 50770	08/16/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 5581	02/03/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Financial Resources Questionnaires, Notices of Amount Due Because of Annuity Overpayment	RI 34-17, RI 34-3, RI 34-019, RI 34-1	Financial Resources Questionnaire ,   Financial Resources Questionnaire - Federal Employees� Group Life Insurance Premiums Underpaid ,   Notice of Amount Due Because Of Annuity Overpayment ,   Notice of Amount Due Because of FEGLI Premium Underpayment

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ICR Summary of Burden

table that charts list of burden

	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	2,081	2,081	0	0	0	0
Annual Time Burden (Hours)	2,081	2,081	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $126,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 02/13/2012

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