RI 30-2, Annuitant's Report of Earned Income

ICR 201910-3206-003

OMB: 3206-0034

Federal Form Document

Forms and Documents
Document
Name
Status
Supplementary Document
2019-10-04
Supplementary Document
2019-10-04
Supplementary Document
2019-10-04
Supplementary Document
2019-10-04
Supporting Statement A
2019-11-08
IC Document Collections
IC ID
Document
Title
Status
33551
Modified
ICR Details
3206-0034 201910-3206-003
Historical Active 201703-3206-002
OPM RI 30-2, Annuitant's Report of Earned Income
RI 30-2, Annuitant's Report of Earned Income
Revision of a currently approved collection   No
Regular
Approved without change 12/10/2019
Retrieve Notice of Action (NOA) 11/08/2019
  Inventory as of this Action Requested Previously Approved
12/31/2022 36 Months From Approved 12/31/2019
21,000 0 21,000
12,250 0 12,250
328,913 0 0

Law and regulations require that a disability annuitant who is restored to earning capacity before reaching age 60 lose his/her annuity. RI 30-2 is used by disability annuitants under age 60 to report their earnings. This is done annually.

US Code: 5 USC Chapter 83, Section 8337 Name of Law: CSRS
   US Code: 5 USC Chapter 84, Section 8455 Name of Law: FERS
  
None

Not associated with rulemaking

  84 FR 74 04/17/2019
84 FR 161 08/20/2019
No

1
IC Title Form No. Form Name
Annuitant's Report of Earned Income

  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 21,000 21,000 0 0 0 0
Annual Time Burden (Hours) 12,250 12,250 0 0 0 0
Annual Cost Burden (Dollars) 328,913 0 0 1 328,912 0
No
No

$40,900
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.
11/08/2019


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