Request to Disability Annuitant for Information on Physical Condition and Employment

ICR 202403-3206-001

OMB: 3206-0143

Federal Form Document

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 3206-0143 can be found here:

2024-04-30 - Revision of a currently approved collection

Forms and Documents

Document Name	Status
Form RI 30-1 Request to Disability Annuitant for Information on Physical Condition and Employment Form and Instruction	Modified
Form RI 30-1 Request to Disability Annuitant for Information on Physical Condition and Employment Form and Instruction	Modified
RI30-001_OMBSuppStmt_2023Final .docx Supporting Statement A	2024-03-27
RI30-001_OMBSuppStmt_2023Final .docx Supporting Statement A	2024-03-27
ARS PIA Final 12212017signed.pdf Supplementary Document	2024-03-25
ARS PIA Final 12212017signed.pdf Supplementary Document	2024-03-25
RI30-001_30DayFRNPublished_2024_02_20.pdf Supplementary Document	2024-03-25
RI30-001_30DayFRNPublished_2024_02_20.pdf Supplementary Document	2024-03-25
RI30-001_60DayFRNPublished_2023_05_03.pdf Supplementary Document	2024-03-25
RI30-001_60DayFRNPublished_2023_05_03.pdf Supplementary Document	2024-03-25

IC Document Collections

IC ID	Document Title	Status
33615	Request to Disability Annuitant for Information on Physical Condition and Employment Form and Instruction	Modified
33615	Request to Disability Annuitant for Information on Physical Condition and Employment Form and Instruction	Modified

ICR Details

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