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.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
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

All Historical Document Collections

Historical document collections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