Information Collection

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

IC 33589 under ICR 201607-3206-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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)/C SF 2802 September 2013.pdf	Form and Instruction

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: Unchanged

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 Spouseâs Notification of Application for Refund of Retirement Deductions	SF 2802 September 2013.pdf		Yes	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
No associated records found

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