Annuitant's Report of Earned Income

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0034 can be found here:

Documents and Forms

Document Name Document Type
RI30-002_2019_01.pdf RI 30-002_2019_Revised IC Document
RI30-002_2018_01_MarkUp.pdf RI 30-002_2018_MarkUp IC Document

Information Collection (IC) Details

IC Title:	Annuitant's Report of Earned Income	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR Ch I 844.402 5 CFR Ch I 831.1209 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title: OPM/Central-1	FR Citation: 73 FR 15013

Number of Respondents: 21,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	21,000	21,000
Annual IC Time Burden (Hours)	12,250	12,250
Annual IC Cost Burden (Dollars)	328,913	328,913

Documents for IC

Title	Document	Date Uploaded
RI 30-002_2019_Revised	RI30-002_2019_01.pdf	10/04/2019
RI 30-002_2018_MarkUp	RI30-002_2018_01_MarkUp.pdf	10/04/2019

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.