Annuity Supplement Earnings Report

OMB 3206-0194

RI 92-22, Annuity Supplement Earnings Report, is used each year to obtain the earned income of Federal Employees Retirement System (FERS) annuitants receiving an annuity supplement. The annuity supplement is paid to eligible FERS annuitants who are not retired on disability and are not yet age 62. The supplement approximates the portion of a full career Social Security benefit earned while under FERS and ends at age 62. Like Social Security benefits, the annuity supplement is subject to an earnings limitation.

The latest form for Annuity Supplement Earnings Report expires 2021-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form RI92-022 Annuity Supplement Earnings Report Form and Instruction
RI92-022_OMBSupportingStmt_2024_03_21.docx Supporting Statement A
2023-19194.pdf Supplementary Document
2024-09282.pdf Supplementary Document
RI92-22_Justification_2022_02_10 (1).docx Justification for No Material/Nonsubstantive Change
RI92-022_Citations.pdf Supplementary Document
E8-5659.pdf Supplementary Document
ARS PIA Final 12212017signed.pdf Supplementary Document
Annuity Supplement Earnings Report Form and Instruction

All Historical Document Collections

202404-3206-011 Approved without change	Revision of a currently approved collection	2024-05-01
202202-3206-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2022-02-10
202101-3206-003 Approved without change	Revision of a currently approved collection	2021-01-28
201903-3206-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2019-03-19
201712-3206-013 Approved with change	Revision of a currently approved collection	2017-12-29
201704-3206-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2017-05-01
201603-3206-007 Approved without change	Revision of a currently approved collection	2016-04-25
201402-3206-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2014-02-18
201305-3206-003 Approved without change	Extension without change of a currently approved collection	2013-05-15
201302-3206-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2013-02-19
201111-3206-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2011-11-17
201004-3206-012 Approved without change	Revision of a currently approved collection	2010-04-26
200903-3206-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2009-03-02
200803-3206-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2008-03-10
200705-3206-003 Approved with change	Revision of a currently approved collection	2007-05-24
200309-3206-003 Approved without change	Revision of a currently approved collection	2003-09-25
200003-3206-008 Approved without change	Extension without change of a currently approved collection	2000-03-09
199611-3206-001 Approved without change	Revision of a currently approved collection	1996-11-05
199408-3206-001 Approved without change	Revision of a currently approved collection	1994-08-18
199109-3206-002 Approved without change	Revision of a currently approved collection	1991-09-20
199012-3206-002 Approved without change	New collection (Request for a new OMB Control Number)	1990-12-18