OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Request to Disability Annuitant for Information on Physical Condition and Employment

OMB 3206-0143 · OPM.

OMB 3206-0143

Request to Disability Annuitant for Information on Physical Condition and Employment, is used by persons who are not yet age 60 but receive a disability annuity and are subject to inquiry regarding their medical condition as OPM deems reasonably necessary.

The latest form for Request to Disability Annuitant for Information on Physical Condition and Employment expires 2026-07-31 and is listed under ICR 202404-3206-001.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form RI30-01 Request to Disability Annuitant for Information on Physical Condition and EmploymentForm and Instruction
RI30-01_OMBSupportingStmt_2026.docxSupporting Statement A
ARS PIA Final 12212017signed.pdfSupplementary Document
Request to Disability Annuitant for Information on Physical Condition and Employment Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202607-3206-005 Extension without change of a currently approved collection 2026-07-23
202404-3206-001 Revision of a currently approved collection 2024-04-30 Approved without change
202403-3206-001 Revision of a currently approved collection 2024-03-29 Improperly submitted and continue
202101-3206-008 Revision of a currently approved collection 2021-01-29 Approved without change
201712-3206-012 Revision of a currently approved collection 2017-12-29 Approved with change
201703-3206-001 No material or nonsubstantive change to a currently approved collection 2017-03-16 Approved without change
201606-3206-005 Revision of a currently approved collection 2016-06-28 Approved with change
201303-3206-007 Revision of a currently approved collection 2013-03-28 Approved without change
201005-3206-001 Revision of a currently approved collection 2010-05-04 Approved without change
200707-3206-001 Revision of a currently approved collection 2007-07-19 Approved without change
200403-3206-001 Revision of a currently approved collection 2004-03-26 Approved without change
200104-3206-002 Revision of a currently approved collection 2001-04-26 Approved without change
199802-3206-003 Reinstatement with change of a previously approved collection 1998-02-11 Approved without change
199406-3206-004 Extension without change of a currently approved collection 1994-06-16 Approved without change
199108-3206-007 Extension without change of a currently approved collection 1991-08-22 Approved without change
199006-3206-005 Reinstatement with change of a previously approved collection 1990-06-01 Approved without change
198911-3206-004 No material or nonsubstantive change to a currently approved collection 1989-11-06 Approved with change
198905-3206-002 No material or nonsubstantive change to a currently approved collection 1989-05-05 Approved with change
198704-3206-015 Revision of a currently approved collection 1987-04-22 Approved without change
198512-3206-001 No material or nonsubstantive change to a currently approved collection 1985-12-18 Approved with change
198403-3206-003 New collection (Request for a new OMB Control Number) 1984-03-22 Approved without change