Information Collection Request
Annuity Supplement Earnings Report
ICR 202404-3206-011 · OMB 3206-0194 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 3206-0194 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form RI92-022 Annuity Supplement Earnings Report |
Form and Instruction | Modified | Missing upstream |
 RI92-022_OMBSupportingStmt_2024_03_21.docx |
Supporting Statement A | Uploaded 2024-05-01 | Available |
 2023-19194.pdf |
Supplementary Document | Uploaded 2024-05-01 | Repair queued |
| 2024-09282.pdf |
Supplementary Document | Uploaded 2024-05-01 | Repair queued |
| RI92-22_Justification_2022_02_10 (1).docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2022-02-10 | Repair queued |
| RI92-022_Citations.pdf |
Supplementary Document | Uploaded 2022-02-07 | Repair queued |
| E8-5659.pdf |
Supplementary Document | Uploaded 2022-02-07 | Missing upstream |
| ARS PIA Final 12212017signed.pdf |
Supplementary Document | Uploaded 2022-02-07 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 33678 |  Annuity Supplement Earnings Report |
Form and Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | OPM |
| OMB Control No | 3206-0194 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202202-3206-001 |
| Agency Tracking No | RI 92-22 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |