Information Collection
Request to Change FEHB Enrollment or to Receive Plan Brochures for Spouse Equity/Temporary Continuation of Coverage Enrollees/Direct Pay Annuitants
IC 33692 under ICR 201409-0505-001 · OMB 0505-0024.
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0505-0024 can be found here:
Documents and Forms
| Document Name | Document Type |
|---|---|
Form DPRS 2809Request to Change FEHB Enrollment or to Receive Plan Brochures for Spouse Equity/Temporary Continuation of Coverage Enrollees/Direct Pay Annuitants |
Form and Instruction |
DPRS 2809 Request to Change FEHB or to Receive Plan Brochures for2015 DPRS-2809 Form and Instructions.pdf | Form and Instruction |
|
2011 Markups.pdf 2011 Markups | IC Document |
Information Collection (IC) Details
| IC Title | Request to Change FEHB Enrollment or to Receive Plan Brochures for Spouse Equity/Temporary Continuation of Coverage Enrollees/Direct Pay Annuitants |
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