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RI 38-117, Rollover Election
RI 38-117, Rollover Election, RI 37-118, Rollover Information, and RI 37-22, Special Tax Notice Regarding Rollovers
OMB: 3206-0212
IC ID: 33708
OMB.report
OPM
OMB 3206-0212
ICR 202207-3206-004
IC 33708
( )
Documents and Forms
Document Name
Document Type
Form RI 38-117
RI 38-117, Rollover Election
Form and Instruction
RI 38-117 Rollover Election
RI38-117_2021_12_Revised.pdf
Form and Instruction
RI 38-117 Rollover Election
RI38-117_2021_12_Revised.pdf
Form and Instruction
RI 38-118 Rollover Information
RI38-118_2021_12_Revised.pdf
Form and Instruction
RI 38-118 Rollover Information
RI38-118_2021_12_Revised.pdf
Form and Instruction
RI 37-22 Special Tax Notice Regarding Rollovers
RI 37-22_2021_12_Revised.pdf
Form and Instruction
RI 37-22 Special Tax Notice Regarding Rollovers
RI 37-22_2021_12_Revised.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
RI 38-117, Rollover Election
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
RI 38-117
Rollover Election
RI38-117_2021_12_Revised.pdf
No
Printable Only
Form and Instruction
RI 38-118
Rollover Information
RI38-118_2021_12_Revised.pdf
No
Paper Only
Form and Instruction
RI 37-22
Special Tax Notice Regarding Rollovers
RI 37-22_2021_12_Revised.pdf
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Executive Functions
Privacy Act System of Records
Title:
OPM/Central-1
FR Citation:
73 FR 15013
Number of Respondents:
1,500
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,500
0
0
0
0
1,500
Annual IC Time Burden (Hours)
1,000
0
0
0
0
1,000
Annual IC Cost Burden (Dollars)
60,249
0
0
0
0
60,249
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.