The information provided by the annuitant is used by OPM to verify receipt of SSA disability benefits, make necessary adjustments to the FERS disability benefit, and notify the annuitant of any overpayment payable to OPM. It also notifies the annuitant of the responsibility to notify OPM if SSA benefits begin and the consequences of non-notification. The Privacy Act Statement has been revised due to a review by our Chief Privacy Officer.
The latest form for We Need Important Information About Your Eligibility for Social Security Disability Benefits expires 2023-11-30 and can be found here.
Document Name |
---|
Form and Instruction |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supporting Statement A |
Approved without change |
Revision of a currently approved collection | 2020-10-16 | |
Approved without change |
Extension without change of a currently approved collection | 2017-03-27 | |
Approved without change |
Extension without change of a currently approved collection | 2014-02-18 | |
Approved without change |
Extension without change of a currently approved collection | 2010-11-30 | |
Approved without change |
No material or nonsubstantive change to a currently approved collection | 2010-04-27 | |
Approved without change |
Revision of a currently approved collection | 2007-12-27 | |
Approved without change |
Extension without change of a currently approved collection | 2004-10-08 | |
Approved without change |
Revision of a currently approved collection | 2002-12-19 | |
Approved without change |
Revision of a currently approved collection | 2001-09-05 | |
Approved without change |
Reinstatement with change of a previously approved collection | 1998-02-11 | |
Approved without change |
New collection (Request for a new OMB Control Number) | 1994-03-30 |