Information Collection

Annuitant's Report of Earned Income

IC 33551 under ICR 202112-3206-002 · OMB 3206-0034.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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

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

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 %

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	21,000	0	0	21,000
Annual IC Time Burden (Hours)	12,250	0	0	12,250
Annual IC Cost Burden (Dollars)	328,913	-40,900	40,900	328,913

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
RI 30-002_2022_01	RI30-002_2022_01_Revised.pdf	12/28/2021
RI 30-002_2021_01	RI30-002_2021_01_MarkUp.pdf	12/28/2021

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