Information Collection

Application for Refund of Retirement Deductions (CSRS) Current/Former Spouse's Notification of Application for Refund

IC 33589 under ICR 201010-3206-008 · OMB 3206-0128.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0128 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SF 2802/SF 2802A Application for Refund of Retirement Deductions (CSRS) Current/Former Spouse's Notification of Application for Refund	Form and Instruction
SF 2802/SF 2802A Application for Refund of Retirement Deductions (CSRS); SF2802_November2010.pdf	Form and Instruction
SF2802_November2010_MarkUp.pdf SF2802_November2010_Markup	IC Document
SF 2802 February 2009 Markup.pdf SF 2802 February 2009 Markup	IC Document

IC Title:

Application for Refund of Retirement Deductions (CSRS) Current/Former Spouse's Notification of Application for Refund

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 831.2002

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SF 2802/SF 2802A	Application for Refund of Retirement Deductions (CSRS); Current/Former Spouse's Notification of Application for Refund of Retirement Deductions (CSRS)	SF2802_November2010.pdf		No		Fillable Printable

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records

Title: OPM/Central-1

FR Citation: 73 FR 15013

Number of Respondents: 7,130

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	7,130	7,130
Annual IC Time Burden (Hours)	4,588	4,588
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SF2802_November2010_Markup	SF2802_November2010_MarkUp.pdf	10/26/2010
SF 2802 February 2009 Markup	SF 2802 February 2009 Markup.pdf	10/26/2010

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.