RI 38-31, We Need Information About Your Missing Payment

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form RI 38-31 We Need Information About Your Missing Payment	Form and Instruction	Modified	Available
60-Day FRN.pdf	Supplementary Document	Uploaded 2014-02-18	Available
30-Day FRN.pdf	Supplementary Document	Uploaded 2014-02-18	Repair queued
RI 38-31 SS.doc	Supporting Statement A	Uploaded 2014-02-18	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
33667	RI 38-31, We Need Information About Your Missing Payment	Form and Instruction	Modified	We Need Information About Your Missing Payment

ICR Details

OMB Control No: 3206-0187	ICR Reference No: 201402-3206-003
Status: Historical Active	Previous ICR Reference No: 201103-3206-002
Agency/Subagency: OPM	Agency Tracking No:
Title: RI 38-31, We Need Information About Your Missing Payment
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/25/2014
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/18/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2017	36 Months From Approved	04/30/2014
Responses	8,000	0	8,000
Time Burden (Hours)	1,333	0	1,333
Cost Burden (Dollars)	0	0	0

---

Abstract: RI 38-31 is sent in response to a notification by an individual of the loss or non-receipt of a payment from the Civil Service Retirement and Disability Fund. This form requests the information needed to enable OPM to trace and/or reissue payment. Missing payments may also be reported to OPM by a telephone call.

---

Authorizing Statute(s): US Code: 5 USC Chapter 84 Name of Law: FERS Retirement
   US Code: 5 USC Chapter 83 Name of Law: CSRS Retirement
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 55123	09/09/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 8513	02/12/2014
Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

IC Title	Form No.	Form Name
RI 38-31, We Need Information About Your Missing Payment	RI 38-31	We Need Information About Your Missing Payment

---

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	8,000	8,000	0	0	0	0
Annual Time Burden (Hours)	1,333	1,333	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:

---

Annual Cost to Federal Government: $37,700

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

---

Common Form ICR:  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:

(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: 02/18/2014

---