RI30-002_OMBSupportingStmt_2016_05_10

OMB SUPPORTING STATEMENT

RI 30-2 – Annuitant’s Report of Earned Income

A. Justification

1. Title 5, U. S. Code, Chapter 83, Section 8337 and Chapter 84, Section 8455 bar payment of annuity based on disability to persons under age 60 who, in any calendar year, earn more than 80 percent of the current rate of pay of the position from which they separated for retirement. RI 30-2 is designed to help OPM identify persons who may not be entitled to continued annuity benefits.

2. RI 30-2 is a form OPM mail each year to disability retirees who are not yet 60 years old. This form asks for a response only if the person had earned income or has been reemployed in the Federal service after separating for disability retirement. If the annuitant responds, OPM takes appropriate action based on the annuitant’s statement to determine whether to continue the annuity payments. If this information is not collected, we might continue to pay benefits to persons who are no longer entitled. Editorial changes have been made to this form. The Public Burden Statement meets the requirements of 5 CFR 1320.8(b)(3).

3. The information collected can only be obtained from the respondents. New methods of information technology would do little to reduce the burden on the respondents; they must sign certifying the truth of their statements, under penalty of law. However, this form will be available in a PDF fill-able format on our website for the use of respondents whose initial form received from OPM may have been damaged or lost. This meets our GPEA requirements.

4. Each RI 30-2 is prepared for the individual respondent who is asked to certify earnings information for the specified year. Duplication is minimized because respondents with no earnings are asked not to respond.

5. Information is not collected from small businesses.

6. Less frequent collection might cause disability retirees to receive many months of payments to which they are not entitled. Entitlement to annuity ends six months after the calendar year in which earnings equal or exceed 80 percent of the current rate of pay.

7. The collection is consistent with the guidelines in 5 CFR 1320.6, except 1320.6(b). A response is required within 30 days in order to prevent payments to annuitants who are no longer eligible.

8. A notice of proposed information collection was published in the Federal Register on March 8, 2016 (Vol. 81, No. 45, Page 12147) as required by 5 CFR 1320, giving persons outside the agency an opportunity to comment on the form. No comments were received.

9. No payment or gift is provided to respondents.

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10. This information collection is protected by the Privacy Act of 1974 and OPM regulations (5 CFR 831.106). The routine uses for disclosure appear in the Federal Register for OPM/Central-1 (73 FR 15013, et seq., March 20, 2008).

11. This information collection does not include questions of a sensitive nature, such as sexual behavior and attitudes, religious beliefs, and other matters that are commonly considered private.

12. We estimate 21,000 forms RI 30-2 are processed annually. This form takes approximately 35 minutes to complete; the annual burden is 12,250 hours.

13. There is no cost to the beneficiary.

14. The annualized cost to the Federal government is $40,900. This cost was determined by employee salary hours devoted to the program, forms cost, and overhead.

15. There is no change in the respondent burden.

16. The results of this information collection are not published.

17. It is not cost effective to reprint the whole supply of forms to change the OMB clearance expiration date. Therefore, we seek approval not to display the date on the form.

18. There are no exceptions to the certification statement.