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Form DPRS-2809 Request to Change FEHB or to Receive Plan Brochures for
Request to Change FEHB Enrollment or to Receive Plan Brochures for Spouse Equity/Temporary Continuation of Coverage Enrollees/Direct Pay Annuitants
DPRS 2809
Request to Change FEHB Enrollment or to Receive Plan Brochures for Spouse Equity/Temporary Continuation of Coverage Enrollees/Direct Pay Annuitants
OMB: 3206-0202
OMB.report
OPM
OMB 3206-0202
ICR 200806-3206-001
IC 33692
Form DPRS-2809 Request to Change FEHB or to Receive Plan Brochures for
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 3206-0202 can be found here:
2011-08-25 - Revision of a currently approved collection
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CPY Document Title
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File Modified
2008-06-25
File Created
0000-00-00
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