Reemployment of Annuitants - 5 CFR Section 837.103

Explanation of Information Collection Request without a form

This package is for the OMB approval of the regulations that authorize OPM to collect this information from “reemployed annuitants”. The information that may be required from a “reemployed annuitant” may vary significantly and may be vastly unique from customer to customer. We don’t have a form that captures all possible required data elements from every “reemployed annuitant” because that would overburden the “reemployed annuitant” who may have already submitted much of the appropriate information.

This regulation allows the agency to make a “unique” collection of only the information needed for a particular customer case and not overburden our customer base by sending a generic form that requires them to possibly review and complete information that we already have access to.

We collect this information from more than 10 members of the public (reemployed annuitants), thus it requires the PRA (Paperwork Reduction Act) review.

Generic Privacy Act Statement for 3206-0211

Pursuant to 5 U.S.C.§ 552a(e)(3), this Privacy Act Statement serves to inform you why OPM is requesting the information on this form.

Authority: OPM’s authorization to collect the information requested is Chapter 83, Title 5, U.S. Code (Sections: 8334, 8341, & 8342) and Chapter 84, Title 5, U.S. Code (Section 8411). OPM’s authorization to collect your Social Security number is Executive Order 9397 (November 22, 1943), as amended by Executive Order 13478 (November 18, 2008).

Purpose: The information you furnish will be used to identify records properly associated with
your application for Federal benefits, to obtain additional information if necessary, to determine and allow present or future benefits, to maintain a uniquely identifiable claim file, and to determine your eligibility to make deposits or redeposits to the  Civil Service Retirement and Disability Fund.

Routine Uses: The information requested on this form may be shared externally as a "routine use" to other Federal agencies and third-parties when it is necessary to process your application for benefits. For example, OPM may share your information with other Federal, state, or local agencies and
organizations in order to determine benefits under their programs, to obtain information necessary for determination or continuation of benefits under this program, or to report income for tax purposes. OPM may also share your information with law enforcement agencies if it becomes aware of a
violation or potential violation of civil or criminal law. A complete list of the routine uses can be found in the OPM/CENTRAL 1 Civil Service Retirement and Insurance Records system of records notice, available at www.opm.gov/privacy.

Consequences of Failure to Provide Information: Providing this information to OPM is voluntary. However, if you fail to provide this information, it may result in a delay or prevent action on your application or render OPM unable to determine your eligibility to make deposits or redeposits for the Civil Service Retirement and Disability Fund.

Generic Public Burden Statement for 3206-0211

The public reporting burden to complete this information collection is estimated at 5 minutes
per response, including time for reviewing instructions, searching data sources, gathering and maintaining the data needed, and completing and reviewing the collected information.
An agency may not conduct or sponsor, and a person is not required to respond to, a
collection of information unless it displays a currently valid OMB control number.
Send comments regarding this burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden to the Office of Personnel Management, RS Publications Team at [email protected].  Current information regarding this collection of information – including all background materials – can be found at https:/www.reginfo.gov/public/do/PRAMain by using the search function to enter either Regulations Governing Reemployment of Annuitants in the Federal Service or 3206-0211.