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 and RI 34-20, Notice of Amount Due Because of FEHB Premium Underpayment.

OMB: 3206-0167

IC ID: 33642

Information Collection (IC) Details

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Notices of Amount Due Because of Annuity Overpayment
 
No Modified
 
Required to Obtain or Retain Benefits
 
5 CFR 845 5 CFR 831 Subpart M and N

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction RI 34-20 Notice of Amount Due Because of FEHB Premium Underpayment (Markup) RI 34-20 December 2012_MarkUp.pdf No   Paper Only
Form and Instruction RI 34-17 Financial Resources Questionnaire RI 34-017_2018_06_Revised.pdf Yes No Fillable Printable
Form and Instruction RI 34-18 Financial Resources Questionnaire RI 34-018_2018_06_Revised.pdf Yes No Fillable Printable
Form and Instruction RI 34-19 Notice of Amount Due Because of FEGLI Premium Underpayment RI 34-019_2018_06_Revised.pdf No   Paper Only
Form and Instruction RI 34-20 Notice OF Amount Due Because of FEHB Premium Underpayment RI 34-020_2018_06_Revised.pdf No   Paper Only
Form and Instruction RI 34-1 Financial Resources Questionnaire RI 34-001_2018_06_Revised.pdf Yes No Fillable Printable
Form and Instruction RI 34-3 Notice of Amount Due Because of Annuity Overpayment RI 34-003_2018_06_Revised.pdf No   Paper Only
Form and Instruction RI 34-1 Financial Resources Questionnaire (Markup) RI34-001_2012_05_MarkUp.pdf Yes No Fillable Printable
Form and Instruction RI 34-3 Notice of Amount Due Because of Annuity Overpayment (Markup) RI 34-003 December 2012_MarkUp.pdf No   Paper Only
Form and Instruction RI 34-17 Financial Resources Questionnaire (Markup) RI 34-017 May 2012_MarkUp.pdf Yes No Fillable Printable
Form and Instruction RI 34-18 Financial Resources Questionnaire (Markup) RI 34-018 Dec 2012_MarkUp.pdf Yes No Fillable Printable
Form and Instruction RI 34-19 Notice of Amount Due Because of FEGLI Premium Underpayment (Markup) RI34-019_2012_12_MarkUp.pdf No   Paper Only

General Government Executive Functions

OPM/Central-1  73 FR 15013

2,361 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 2,361 0 280 0 0 2,081
Annual IC Time Burden (Hours) 2,361 0 280 0 0 2,081
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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