Application for Death Benefits Under the Civil Service Retirement System

Application for Death Benefits Under the Civil Service Retirement System/Documentation and Elections in Support of Application for Death Benefits When Deceased Was an Employee

OMB: 3206-0156

IC ID: 33627

Information Collection (IC) Details

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Application for Death Benefits Under the Civil Service Retirement System
 
No Modified
 
Required to Obtain or Retain Benefits
 
5 CFR Ch. 1, Sec. 831 - Subpart F  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SF 2800 Application for Death Benefits Under CSRS SF2800_2021_09_MarkUp.pdf www.opm.gov Yes No Fillable Printable
Form and Instruction SF 2800 Application for Death Benefits Under CSRS SF2800_2018_06_MarkUp.pdf www.opm.gov Yes No Fillable Printable
Form and Instruction SF 2800A Documentation and Elections in Support of Application for Death Benefits When Deceased Was an Employee at the Time of Death SF2800A_2021_09_MarkUp.pdf www.opm.gov Yes No Fillable Printable
Form and Instruction SF 2800A Documentation and Elections in Support of Application for Death Benefits When Deceased Was an Employee at the Time of Death SF2800A_2018_06.pdf www.opm.gov Yes No Fillable Printable

General Government Executive Functions

OPM/Central-1  73 FR 15013

74,800 0
   
Individuals or Households
 
   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 74,800 0 0 0 0 74,800
Annual IC Time Burden (Hours) 56,100 0 0 0 0 56,100
Annual IC Cost Burden (Dollars) 813,565 0 813,565 0 0 0

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.

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