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Form DPRS 2809 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 201108-3206-002
IC 33692
Form DPRS 2809 DPRS 2809 Request to Change FEHB or to Receive Plan Brochures for
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2011-08-18
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2011-08-18
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