Information Collection Request
Request to Disability Annuitant for Information on Physical Condition and Employment
ICR 202403-3206-001 · OMB 3206-0143 · Historical Inactive
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 3206-0143 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form RI 30-1 Request to Disability Annuitant for Information on Physical Condition and Employment |
Form and Instruction | Modified | Available |
| Form RI 30-1 Request to Disability Annuitant for Information on Physical Condition and Employment |
Form and Instruction | Modified | Repair queued |
 RI30-001_OMBSuppStmt_2023Final .docx |
Supporting Statement A | Uploaded 2024-03-27 | Available |
| RI30-001_OMBSuppStmt_2023Final .docx |
Supporting Statement A | Uploaded 2024-03-27 | Missing upstream |
 ARS PIA Final 12212017signed.pdf |
Supplementary Document | Uploaded 2024-03-25 | Available |
| ARS PIA Final 12212017signed.pdf |
Supplementary Document | Uploaded 2024-03-25 | Repair queued |
| RI30-001_30DayFRNPublished_2024_02_20.pdf |
Supplementary Document | Uploaded 2024-03-25 | Available |
| RI30-001_30DayFRNPublished_2024_02_20.pdf |
Supplementary Document | Uploaded 2024-03-25 | Missing upstream |
| RI30-001_60DayFRNPublished_2023_05_03.pdf |
Supplementary Document | Uploaded 2024-03-25 | Available |
| RI30-001_60DayFRNPublished_2023_05_03.pdf |
Supplementary Document | Uploaded 2024-03-25 | Missing upstream |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 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
| Status | Historical Inactive |
|---|---|
| Agency/Subagency | OPM |
| OMB Control No | 3206-0143 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202101-3206-008 |
| Agency Tracking No | RI 30-1 |
| Date Submitted to OIRA | 2024-03-29 |
| Requested Expiration Date | 1969-12-31 |