Information Collection

Designation of Beneficiary (CSRS)

IC 33612 under ICR 202010-3206-003 · OMB 3206-0142.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0142 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
SF 2808 Designation of Beneficiary (CSRS)_Revised SF2808_2020_07_Revised.pdf	Form and Instruction
SF 2808 Designation of Beneficiary (CSRS)_Revised SF2808_2020_07_Revised.pdf	Form and Instruction
BAL_20-102.pdf BAL Document	IC Document

IC Title:

Designation of Beneficiary (CSRS)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 831.2005

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 2808	Designation of Beneficiary (CSRS)_Revised	SF2808_2020_07_Revised.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: 2,000

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,000	0	2,000
Annual IC Time Burden (Hours)	500	0	500
Annual IC Cost Burden (Dollars)	13,450	13,450	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
BAL Document	BAL_20-102.pdf	01/29/2021

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