Annuity Supplement Earnings Report

ICR 201903-3206-001

OMB: 3206-0194

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Justification for No Material/Nonsubstantive Change
2019-03-19
IC Document Collections
IC ID
Document
Title
Status
33678 Modified
ICR Details
3206-0194 201903-3206-001
Active 201712-3206-013
OPM RI 92-22
Annuity Supplement Earnings Report
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 03/25/2019
Retrieve Notice of Action (NOA) 03/19/2019
  Inventory as of this Action Requested Previously Approved
01/31/2021 01/31/2021 01/31/2021
13,000 0 13,000
3,250 0 3,250
0 0 0

RI 92-22, Annuity Supplement Earnings Report, is used each year to obtain the earned income of Federal Employees Retirement System (FERS) annuitants receiving an annuity supplement. The annuity supplement is paid to eligible FERS annuitants who are not retired on disability and are not yet age 62. The supplement approximates the portion of a full career Social Security benefit earned while under FERS and ends at age 62. Like Social Security benefits, the annuity supplement is subject to an earnings limitation.

US Code: 5 USC Chapter 84, Section 8421 Name of Law: FERS, Annuity Supplement
  
None

Not associated with rulemaking

  82 FR 17896 04/13/2017
82 FR 59669 12/15/2017
No

1
IC Title Form No. Form Name
Annuity Supplement Earnings Report RI 92-22, RI 92-22 2018 Annuity Supplement Earnings Report ,   2018 Annuity Supplement Earnings Report

  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 13,000 13,000 0 0 0 0
Annual Time Burden (Hours) 3,250 3,250 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$45,550
No
    Yes
    Yes
No
No
No
Uncollected
Charles Conyers 202 606-0125 [email protected]

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
03/19/2019


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