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RI 92-22 – 2021 FERS Annuity Supplement Earnings Report (Fillable PDF)

  1. Country USA
  2. Department Office of Personnel Management
  3. Sector Retirement & Insurance Forms
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RI 92-22 – 2021 FERS Annuity Supplement Earnings Report (Fillable PDF)

The RI 92-22 is the official Office of Personnel Management (OPM) form used by Federal Employees Retirement System (FERS) retirees to report any earnings that may affect their annuity supplement. Each year, retirees must disclose wages, self‑employment income, and other compensation to determine if the earnings test applies.

What Is the RI 92-22 Form?

This form collects the amount of personal earnings you earned during the calendar year and calculates the exempt amount allowed under the FERS earnings test. The 2021 version is available as a fillable PDF, making data entry quick and error‑free.

Why You Need to File the RI 92-22 Annually

  • Compliance with OPM regulations.
  • Avoid penalties for under‑reporting earnings.
  • Ensure accurate calculation of your annuity supplement.
  • Maintain eligibility for other federal benefits.

How to Complete the Fillable PDF with Formize

Instead of downloading the PDF and opening a separate editor, simply click the "Fill out this form" button on this page. The Formize PDF Filler app loads directly in your browser, letting you:

  1. Enter personal information and earnings data.
  2. See real‑time validation messages.
  3. Save progress and return later if needed.
  4. Download a completed, OPM‑ready PDF or submit electronically as instructed.

Common Mistakes to Avoid

  • Leaving fields blank: Every required field must be completed; otherwise OPM may reject the form.
  • Mis‑reporting exempt earnings: Use the correct exempt amount for the year (2021 exempt amount is $3,600).
  • Submitting after the deadline: The deadline is typically March 31 of the following year.
  • Using an outdated PDF version: Always use the latest fillable version linked below.

Where to Submit Your Completed Form

After you finish, print the completed PDF and mail it to the address listed on the form, or follow any electronic submission instructions provided by your agency’s HR office.

FAQ
  • Who must file the RI 92-22 form?

    All FERS retirees who earned wages, self‑employment income, or other compensation during the reporting year must file.

  • What is the exempt amount for 2021?

    For 2021, the earnings test exempt amount is $3,600. Earnings above this limit may reduce your annuity supplement.

  • Can I submit the RI 92-22 electronically?

    OPM currently requires a printed, signed PDF for most retirees. Some agencies accept electronic copies; check with your HR office.

  • What happens if I miss the filing deadline?

    Late filing can result in penalties, loss of the annuity supplement, and potential interest charges on any under‑reported earnings.

  • Is the Formize filler secure?

    Yes. Formize uses SSL encryption and does not store your personal data on its servers after the session ends.

  • Do I need to attach supporting documents?

    Generally, no. OPM may request wage statements or tax returns during an audit, but they are not required with the initial filing.

  • What if my earnings are below the exempt amount?

    If total earnings are at or below the exempt amount, you still must submit the form, but your annuity supplement will not be reduced.

  • Can I correct a mistake after submitting?

    Yes. Submit a corrected RI 92-22 form with a note explaining the change, or contact OPM for guidance.

HOW TO

How to fill out RI 92-22 for free, online in 4 easy steps:

  1. 1
    Open the Fillable Form
    Click the "Fill out this form" button on the page. The Formize PDF Filler loads instantly in your browser.
  2. 2
    Enter Your Information
    Complete all required fields: personal details, earnings amounts, and exemptions. Validation prompts appear if data is missing or incorrect.
  3. 3
    Review and Save
    Use the preview feature to double‑check entries. Save the form to your device or cloud storage if you need to pause.
  4. 4
    Download or Print
    When finished, download the completed PDF or print it for mailing to OPM as instructed.
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ABOUT

Office of Personnel Management (OPM) Forms

RI 92-22 is one of the official forms that are used by the United States Office of Personnel Management, which is an independent agency of the federal government responsible for managing the civil service workforce and federal employee benefits. The OPM establishes policies and regulations related to federal employment, administers various personnel programs, and provides services to federal employees, retirees, and job applicants.

Here are some examples of Office of Personnel Management forms:

Standard Form 86 (SF-86): This form is used for the background investigation process for individuals applying for a security clearance. It collects comprehensive personal, employment, education, and financial information, as well as details about foreign contacts and activities.

Standard Form 2809 (SF-2809): This form is used to enroll in the Federal Employees Health Benefits (FEHB) Program, which provides health insurance coverage to federal employees, retirees, and their eligible family members.

Standard Form 2817 (SF-2817): This form is used to apply for continuation of coverage under the Federal Employees Dental and Vision Insurance Program (FEDVIP) after retirement or separation from federal service.

Standard Form 3107 (SF-3107): This form is used to apply for retirement benefits under the Civil Service Retirement System (CSRS).

Standard Form 2801 (SF-2801): This form is used to apply for retirement benefits under the Federal Employees Retirement System (FERS).

Standard Form 15 (SF-15): This form is used to apply for veteran's preference in federal employment. It is submitted by veterans or their eligible family members seeking employment opportunities in the federal government.

These examples represent some common OPM forms used in the context of federal employment and employee benefits. However, the OPM has a range of other forms related to various personnel programs, retirement, insurance, and other aspects of federal employment. The specific forms required may vary depending on the nature of the transaction, program, or benefit being sought. It's advisable to consult the official website of the U.S. Office of Personnel Management (www.opm.gov) or seek guidance from the OPM or relevant human resources personnel to obtain accurate and up-to-date information regarding the specific OPM forms relevant to your federal employment or benefits-related needs.

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