Information Collection

RI 20-120, Request for Change to Unreduced Annuity

IC 33770 under ICR 202106-3206-008 · OMB 3206-0245.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0245 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form RI 20-120 RI 20-120, Request for Change to Unreduced Annuity	Form and Instruction
RI 20-120 Request for Change to Unreduced Annuity_MarkUp RI 20-120_2011_03_MarkUp.pdf	Form and Instruction
RI 20-120 Request for Change to Unreduced Annuity_MarkUp RI 20-120_2011_03_MarkUp.pdf	Form and Instruction
RI 20-120 Request for Change to Unreduced Annuity_Revised RI 20-120_2021_09_Revised.pdf	Form and Instruction
RI 20-120 Request for Change to Unreduced Annuity_Revised RI 20-120_2021_09_Revised.pdf	Form and Instruction

IC Title:

RI 20-120, Request for Change to Unreduced Annuity

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	RI 20-120	Request for Change to Unreduced Annuity_MarkUp	RI 20-120_2011_03_MarkUp.pdf		Yes	No	Fillable Printable
Form and Instruction	RI 20-120	Request for Change to Unreduced Annuity_Revised	RI 20-120_2021_09_Revised.pdf		Yes	No	Fillable Printable

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: 5,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5,000	0	0	5,000
Annual IC Time Burden (Hours)	2,500	0	0	2,500
Annual IC Cost Burden (Dollars)	167,188	100,001	67,187	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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