Information Collection

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

IC 33642 under ICR 201202-3206-003 · OMB 3206-0167.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 Employeesï¿½ 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 %

table that charts list of burden
	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

table that charts IC Documents
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.