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Application for Refund of Retirement Deductions (CSRS) Current/Former Spouse's Notification of Application for Refund
Application for Refund of Retirement Deductions (CSRS) Current/Former Spouse's Notification of Application for Refund
OMB: 3206-0128
IC ID: 33589
OMB.report
OPM
OMB 3206-0128
ICR 201712-3206-016
IC 33589
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0128 can be found here:
2024-04-30 - Revision of a currently approved collection
2024-03-29 - Revision of a currently approved collection
Documents and Forms
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
SF2802_2018_02.pdf
Form and Instruction
SF 2802/SF 2802A Application for Refund of Retirement Deductions (CSRS)/C
SF2802_2018_02_MarkUp.pdf
Form and Instruction
SF 2802/SF 2802A Application for Refund of Retirement Deductions/Current-
SF2802_2013_09_MarkUp.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
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:
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
SF2802_2018_02.pdf
Yes
No
Fillable Printable
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
SF2802_2018_02_MarkUp.pdf
Yes
No
Fillable Printable
Form and Instruction
SF 2802/SF 2802A
Application for Refund of Retirement Deductions/Current-Former Spouse's Notification of Application for Refund of Retirement Deductions (CSRS
SF2802_2013_09_MarkUp.pdf
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
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 %
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
7,130
0
0
0
0
7,130
Annual IC Time Burden (Hours)
4,588
0
0
0
0
4,588
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.