RI 38-47, Information and Instructions on Your Reconsideration Rights

Forms and Documents

Document Name	Status
Form RI 38-47 Information and Instructions on Your Reconsideration Rights Form	Modified
E8-5659.pdf Supplementary Document	2020-10-19
RI38-047_2016_07_MarkUp.pdf Supplementary Document	2020-10-19
RI38-047_60DayFRNPublished_2020_03_23.pdf Supplementary Document	2020-10-19
RI38-047_30dayFRN_Published_2020_09_09.pdf Supplementary Document	2020-10-19
RI38-047_OMBSupportingStatement_2020_07_27.docx Supporting Statement A	2020-10-19

IC Document Collections

IC ID	Document Title	Status
33757	Information and Instructions on Your Reconsideration Rights Form	Modified

ICR Details

OMB Control No: 3206-0237	ICR Reference No: 202010-3206-014
Status: Received in OIRA	Previous ICR Reference No: 201701-3206-006
Agency/Subagency: OPM	Agency Tracking No: RI 38-47
Title: RI 38-47, Information and Instructions on Your Reconsideration Rights
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 10/20/2020

	Requested	Previously Approved
Expiration Date	36 Months From Approved	01/31/2021
Responses	3,100	3,100
Time Burden (Hours)	2,325	2,325
Cost Burden (Dollars)	0	0

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Abstract: RI 38-47 is designed as an enclosure to be mailed with adverse initial decisions so that the person affected will understand how to request reconsideration. If this information were not provided, OPM would fail to inform the individual of how to ask for a review of the initial decision. The form has been updated to reflect an updated room number at OPM.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 16393	03/23/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 55703	09/09/2020
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Information and Instructions on Your Reconsideration Rights	RI 38-47	Information and Instructions on Your Reconsideration Rights_Revised

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ICR Summary of Burden

	Total Request	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	3,100	3,100	0	0	0	0
Annual Time Burden (Hours)	2,325	2,325	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	-62,465	62,465	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $182,300

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 10/20/2020

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