OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

RI 38-117, Rollover Election, RI 37-118, Rollover Information, and RI 37-22, Special Tax Notice Regarding Rollovers

OMB 3206-0212 ยท OPM.

OMB 3206-0212

RI 38-117, Rollover Election, is used to collect information from each payee affected by a change in the tax code so that OPM can make payment in accordance with the wishes of the payee. RI 38-118, Rollover Information, explains the election. RI 37-22, Special Tax Notice Regarding Rollovers, provides more detailed information.

The latest form for RI 38-117, Rollover Election, RI 37-118, Rollover Information, and RI 37-22, Special Tax Notice Regarding Rollovers expires 2029-04-30 and is listed under ICR 202509-3206-001.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form RI 38-17 Rollover Election FormForm and Instruction
Form RI 38-17 RI 38-117, Rollover ElectionForm and Instruction
OMB RI 38-117 2025 Supporting Statement 03-26.docxSupporting Statement A
OMB RI 38-117 2025 Supporting Statement.docxSupporting Statement A
E8-5659.pdfSupplementary Document
E8-5659.pdf Supplementary Document
RI 38-117, Rollover Election Form and Instruction
RI 38-117, Rollover Election Form and Instruction
RI 38-117, Rollover Election Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202509-3206-001 Revision of a currently approved collection 2025-09-26
202207-3206-004 Extension without change of a currently approved collection 2022-07-27 Approved without change
201904-3206-001 Revision of a currently approved collection 2019-05-30 Approved without change
201510-3206-003 Revision of a currently approved collection 2015-10-29 Approved without change
201211-3206-003 Extension without change of a currently approved collection 2012-11-06 Approved without change
201008-3206-001 No material or nonsubstantive change to a currently approved collection 2010-08-24 Approved without change
200911-3206-005 Revision of a currently approved collection 2009-11-06 Approved with change
200810-3206-008 No material or nonsubstantive change to a currently approved collection 2008-10-29 Approved with change
200605-3206-002 Revision of a currently approved collection 2006-05-17 Approved without change
200303-3206-002 Revision of a currently approved collection 2003-03-21 Approved without change
200106-3206-002 Reinstatement with change of a previously approved collection 2001-06-06 Approved without change
199712-3206-001 Reinstatement with change of a previously approved collection 1997-12-05 Approved without change
199405-3206-003 Revision of a currently approved collection 1994-05-24 Approved without change
199303-3206-002 New collection (Request for a new OMB Control Number) 1993-03-12 Approved without change