Annuity Supplement Earnings Report

RI 92-22, Annuity Supplement Earnings Report

OMB: 3206-0194

IC ID: 33678

Documents and Forms
Information Collection (IC) Details

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Annuity Supplement Earnings Report
 
No Modified
 
Required to Obtain or Retain Benefits
 
5 CFR 842.504 5 CFR 842.505

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction RI 92-22 Annuity Supplement Earnings Report RI 92-22 March 2013.pdf Yes No Fillable Printable

General Government Executive Functions

OPM/Central-1  73 FR 15013

13,000 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 13,000 0 0 0 0 13,000
Annual IC Time Burden (Hours) 3,250 0 0 0 0 3,250
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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