OMB control number

RI 34-1, 34-17, Financial Resources Questionnaire, RI 34-3, RI 34-19, Notice of Amount Due Because of Annuity Overpayment and RI 34-20, Notice of Amount Due Because of FEHB Premium Underpayment.

OMB 3206-0167 · OPM.

OMB 3206-0167

The Financial Resources Questionnaire form (RI 34-1) is used to collect financial data from overpaid individuals. Specific change: The ONLY update to RI 34-1 is the relocation of room 3347 to 2H17.

The latest form for RI 34-1, 34-17, Financial Resources Questionnaire, RI 34-3, RI 34-19, Notice of Amount Due Because of Annuity Overpayment and RI 34-20, Notice of Amount Due Because of FEHB Premium Underpayment. expires 2021-08-31 and is listed under ICR 202003-3206-001.

View the official OMB control history on Reginfo.gov.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form RI 34-20 Notice of Amount Due Because of FEHB Premium UnderpaymentForm and Instruction
Form RI 34-20 Notice of Amount Due Because of FEHB Premium UnderpaymentForm and Instruction
Form RI 34-19 Notice of Amount Due Because of FEGLI Premium UnderpaymentForm and Instruction
Form RI 34-19 Notice of Amount Due Because of FEGLI Premium UnderpaymentForm and Instruction
Form RI 34-18 Financial Resources Questionnaire - Federal Employees’ Group Life Insurance Premiums UnderpaidForm and Instruction
Form RI 34-18 Financial Resources Questionnaire - Federal Employees Health Benefits Premiums UnderpaidForm and Instruction
Form RI 34-17 Financial Resources Questionnaire - Federal Employees’ Group Life Insurance Premiums UnderpaidForm and Instruction
Form RI 34-17 Financial Resources Questionnaire - Federal Employees’ Group Life Insurance Premiums UnderpaidForm and Instruction
Form RI 34-3 Notice of Amount Due Because Of Annuity OverpaymentForm and Instruction
Form RI 34-3 Notice of Amount Due Because Of Annuity OverpaymentForm and Instruction
Form RI 34-1 Financial Resources QuestionnaireForm and Instruction
Form RI 34-1 Financial Resources QuestionnaireForm and Instruction
Form RI 34-1 Notices of Amount Due Because of Annuity OverpaymentForm and Instruction
JUSTIFICATION FOR CHANGES TO RI 34-1 (1).docx Justification for No Material/Nonsubstantive Change
Notices of Amount Due Because of Annuity Overpayment Form and Instruction
Notices of Amount Due Because of Annuity Overpayment Form and Instruction
Notices of Amount Due Because of Annuity Overpayment Form and Instruction
Notices of Amount Due Because of Annuity Overpayment Form and Instruction
Notices of Amount Due Because of Annuity Overpayment Form and Instruction
Notices of Amount Due Because of Annuity Overpayment Form and Instruction
Notices of Amount Due Because of Annuity Overpayment Form and Instruction
Notices of Amount Due Because of Annuity Overpayment Form and Instruction
Notices of Amount Due Because of Annuity Overpayment Form and Instruction
Notices of Amount Due Because of Annuity Overpayment Form and Instruction
Notices of Amount Due Because of Annuity Overpayment Form and Instruction
Notices of Amount Due Because of Annuity Overpayment Form and Instruction
Notices of Amount Due Because of Annuity Overpayment Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202205-3206-001 No material or nonsubstantive change to a currently approved collection 2022-05-20 Approved without change
202108-3206-005 Revision of a currently approved collection 2021-08-31 Approved without change
202003-3206-001 No material or nonsubstantive change to a currently approved collection 2020-03-23 Approved without change
201803-3206-008 Revision of a currently approved collection 2018-06-28 Approved without change
201502-3206-005 Revision of a currently approved collection 2015-02-09 Approved without change
201206-3206-002 No material or nonsubstantive change to a currently approved collection 2012-06-18 Approved without change
201202-3206-003 Revision of a currently approved collection 2012-02-13 Approved without change
200910-3206-001 No material or nonsubstantive change to a currently approved collection 2009-11-02 Approved without change
200901-3206-001 Revision of a currently approved collection 2009-06-29 Approved without change
200803-3206-001 No material or nonsubstantive change to a currently approved collection 2008-03-07 Approved without change
200711-3206-006 No material or nonsubstantive change to a currently approved collection 2007-11-09 Approved without change
200611-3206-002 No material or nonsubstantive change to a currently approved collection 2006-11-22 Approved without change
200508-3206-001 Revision of a currently approved collection 2005-08-02 Approved without change
200207-3206-003 Revision of a currently approved collection 2002-07-03 Approved with change
199907-3206-006 Revision of a currently approved collection 1999-07-06 Approved without change
199605-3206-004 Revision of a currently approved collection 1996-05-30 Approved without change
199308-3206-008 No material or nonsubstantive change to a currently approved collection 1993-08-25 Approved with change
199306-3206-005 Revision of a currently approved collection 1993-06-15 Approved without change
199209-3206-003 Revision of a currently approved collection 1992-09-22 Approved without change
198910-3206-002 Extension without change of a currently approved collection 1989-10-25 Approved without change
198906-3206-005 No material or nonsubstantive change to a currently approved collection 1989-06-28 Approved with change
198905-3206-005 No material or nonsubstantive change to a currently approved collection 1989-05-05 Approved with change
198611-3206-002 New collection (Request for a new OMB Control Number) 1986-11-14 Approved without change