Notices of Amount Due Because of Annuity Overpayment

RI 34-1, 34-17, Financial Resources Questionnaire, RI 34-3, RI 34-19, Notice of Amount Due Because of Annuity Overpayment and RI 34-20, Notice of Amount Due Because of FEHB Premium Underpayment.

OMB: 3206-0167

IC ID: 33642

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Notices of Amount Due Because of Annuity Overpayment
 
No Modified
 
Required to Obtain or Retain Benefits
 
5 CFR 831 Subpart M and N 5 CFR 845

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction RI 34-1 Financial Resources Questionnaire RI34-001_2020_03_MarkUp.pdf Yes No Fillable Printable
Form and Instruction RI 34-1 Financial Resources Questionnaire RI34-001_2021_08_Revised.pdf Yes No Fillable Printable
Form and Instruction RI 34-3 Notice of Amount Due Because Of Annuity Overpayment RI 34-003_2018_06_MarkUp.pdf Yes No Paper Only
Form and Instruction RI 34-3 Notice of Amount Due Because Of Annuity Overpayment RI 34-003_2021_08_Revised.pdf Yes No Paper Only
Form and Instruction RI 34-17 Financial Resources Questionnaire - Federal Employees’ Group Life Insurance Premiums Underpaid RI 34-017_2018_06_MarkUp.pdf Yes No Fillable Printable
Form and Instruction RI 34-17 Financial Resources Questionnaire - Federal Employees’ Group Life Insurance Premiums Underpaid RI 34-017_2021_08_Revised.pdf Yes No Fillable Printable
Form and Instruction RI 34-18 Financial Resources Questionnaire - Federal Employees Health Benefits Premiums Underpaid RI 34-018_2018_06_MarkUp.pdf Yes No Fillable Printable
Form and Instruction RI 34-18 Financial Resources Questionnaire - Federal Employees’ Group Life Insurance Premiums Underpaid RI 34-018_2021_08_Revised.pdf Yes No Fillable Printable
Form and Instruction RI 34-19 Notice of Amount Due Because of FEGLI Premium Underpayment RI 34-019_2018_06_MarkUp.pdf No   Paper Only
Form and Instruction RI 34-19 Notice of Amount Due Because of FEGLI Premium Underpayment RI 34-019_2021_08_Revised.pdf No   Paper Only
Form and Instruction RI 34-20 Notice of Amount Due Because of FEHB Premium Underpayment RI 34-020_2018_06_MarkUp.pdf No   Paper Only
Form and Instruction RI 34-20 Notice of Amount Due Because of FEHB Premium Underpayment RI 34-020_2021_08_Revised.pdf No   Paper Only

General Government Executive Functions

OPM/Central-1  73 FR 15013

2,361 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 2,361 0 0 0 0 2,361
Annual IC Time Burden (Hours) 2,361 0 0 0 0 2,361
Annual IC Cost Burden (Dollars) 63,452 0 1 63,451 0 0

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.
© 2024 OMB.report | Privacy Policy