OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

RI 20-123, Request for Case Review for Enhanced Disability Annuity Benefit

IC 194854 under ICR 202511-3206-004 · OMB 3206-0254.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form RI120-123
RI 20-123, Request for Case Review for Enhanced Disability Annuity Benefit		 Form and Instruction
Form RI120-123
Request for Case Review for Enhanced Disability Annuity Benefit RI 20-123, Request for Case Review for Enhanced Disability Annuity Benefit		 Form and Instruction
RI120-123 Request for Case Review for Enhanced Disability Annuity
RI 20-123_2025.pdf 		Form and Instruction
RI120-123 Request for Case Review for Enhanced Disability Annuity
RI 20-123_2025.pdf 		Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

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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
Form and Instruction RI120-123 opm.gov Yes No Printable Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 100 0 0 0 0 100
Annual IC Time Burden (Hours) 8 0 0 0 0 8
Annual IC Cost Burden (Dollars) 300 0 75 0 0 225

Documents for IC
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