Financial Resources Questionnaires, Notices of Amount Due Because of Annuity Overpayment

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0167 can be found here:

Documents and Forms

Document Name Document Type
Form RI 34-1 Financial Resources Questionnaires, Notices of Amount Due Because of Annuity Overpayment Form and Instruction
RI 34-1 Financial Resources Questionnaire RI 34-001 Dec 2012.pdf Form and Instruction
RI 34-17 Financial Resources Questionnaire - Federal Employees� G RI 34-017 Dec 2012.pdf Form and Instruction
RI 34-3 Notice of Amount Due Because Of Annuity Overpayment RI 34-003 December 2012.pdf Form and Instruction
RI 34-019 Notice of Amount Due Because of FEGLI Premium Underpayme RI 34-019 Dec 2012.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Financial Resources Questionnaires, Notices of Amount Due Because of Annuity Overpayment	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 845 5 CFR 831 Subpart M and N

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form and Instruction	RI 34-1	Financial Resources Questionnaire	RI 34-001 Dec 2012.pdf	No	Fillable Printable
Form and Instruction	RI 34-17	Financial Resources Questionnaire - Federal Employees� Group Life Insurance Premiums Underpaid	RI 34-017 Dec 2012.pdf	No	Fillable Printable
Form and Instruction	RI 34-3	Notice of Amount Due Because Of Annuity Overpayment	RI 34-003 December 2012.pdf	No	Fillable Printable
Form and Instruction	RI 34-019	Notice of Amount Due Because of FEGLI Premium Underpayment	RI 34-019 Dec 2012.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: 2,081	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	2,081	2,081
Annual IC Time Burden (Hours)	2,081	2,081
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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