Skip to Content


Submission for Review: Financial Resources Questionnaire (RI 34-1, RI 34-17, and RI 34-18) and Notice of Amount Due Because of Annuity Overpayment (RI 34-3, RI 34-19, and RI 34-20)

Document Details

Information about this document as published in the Federal Register.

Published Document

This document has been published in the Federal Register. Use the PDF linked in the document sidebar for the official electronic format.

Start Preamble


U.S. Office of Personnel Management.


60-Day Notice and request for comments.


The Retirement Services, Office of Personnel Management (OPM) offers the general public and other federal agencies the opportunity to comment on a revised information collection request (ICR) 3206-0167, Financial Resources Questionnaire and Notice of Amount Due Because of Annuity Overpayment. As required by the Paperwork Reduction Act of 1995 (Pub. L. 104-13, 44 U.S.C. chapter 35) as amended by the Clinger-Cohen Act (Pub. L. 104-106), OPM is soliciting comments for this collection. The Office of Management and Budget is particularly interested in comments that:

1. Evaluate whether the proposed collection of information is necessary for the proper performance of functions of the agency, including whether the information will have practical utility;

2. Evaluate the accuracy of the agency's estimate of the burden of the proposed collection of information, including the validity of the methodology and assumptions used;

3. Enhance the quality, utility, and clarity of the information to be collected; and

4. Minimize the burden of the collection of information on those who are to respond, including through the use of appropriate automated, electronic, mechanical, or other technological collection techniques or other forms of information technology, e.g., permitting electronic submissions of responses.


Comments are encouraged and will be accepted until October 17, 2011. This process is conducted in accordance with 5 CFR 1320.1.


Interested persons are invited to submit written comments on the proposed information collection to the U.S. Office of Personnel Management, Linda Bradford (Acting), Deputy Associate Director, Retirement Operations, Retirement Services, 1900 E Street, NW., Room 3305, Washington, DC 20415-3500 or sent via electronic mail to

Start Further Info


A copy of this ICR, with applicable supporting documentation, may be obtained by contacting the Retirement Services Publications Team, Office of Personnel Management, 1900 E Street, NW., Room 4332, Washington, DC 20415, Attention: Cyrus S. Benson, or sent via electronic mail to or faxed to (202) 606-0910.

End Further Info End Preamble Start Supplemental Information


Financial Resources Questionnaire (RI 34-1), Financial Resources Questionnaire—Federal Employees' Group Life Insurance Premiums Underpaid (RI 34-17), and Financial Resources Questionnaire—Federal Employees Health Benefits Premiums Underpaid (RI 34-18), collects detailed financial information for use by OPM to determine whether to agree to a waiver, compromise, or adjustment of the collection of erroneous payments from the Civil Service Retirement and Disability Fund. Notice of Amount Due Because Of Annuity Overpayment (RI 34-3), Notice of Amount Due Because of FEGLI Premium Underpayment (RI 34-19), and Notice of Amount Due Because of FEHB Premium Underpayment (RI 34-20), informs the annuitant about the Start Printed Page 50771overpayment and collects information from the annuitant about how repayment will be made.


Agency: Retirement Operations, Retirement Services, Office of Personnel Management.

Title: Financial Resources Questionnaire and Amount Due Because of Annuity Overpayment.

OMB Number: 3206-0167.

Frequency: On occasion.

Affected Public: Individuals or households.

Number of Respondents: 2,081.

Estimated Time Per Respondent: 60 minutes.

Total Burden Hours: 2,081.

Start Signature

U.S. Office of Personnel Management.

John Berry,


End Signature End Supplemental Information

[FR Doc. 2011-20805 Filed 8-15-11; 8:45 am]