Application for Death Benefits Under the Civil Service Retirement System

Application for Death Benefits Under the Civil Service Retirement System

OMB: 3206-0156

IC ID: 33627

Information Collection (IC) Details

View Information Collection (IC)

Application for Death Benefits Under the Civil Service Retirement System
 
No Modified
 
Required to Obtain or Retain Benefits
 
5 CFR Ch. 1, Sec. 831 - Subpart F  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SF 2800 Application for Death Benefits Civil Service Retirement System SF 2800 August 2011.pdf Yes No Fillable Printable

General Government Executive Functions

OPM/Central-1  73 FR 15013

74,800 0
   
Individuals or Households
 
   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 74,800 0 0 0 0 74,800
Annual IC Time Burden (Hours) 56,100 0 0 0 0 56,100
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SF 2800 (Dec 2008) Markup SF 2800 (Dec 2008) Markup.pdf 06/21/2011
SF 2800 August 2011 Markup SF 2800 August 2011 Markup.pdf 06/21/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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