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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0128 can be found here:

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
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 CSRS Application for Refund of Retirement Deductions; Cu SF 2802_Markup.pdf www.opm.gov Form and Instruction
SF 2802; SF 2802A CSRS Application for Refund of Retirement Deductions; Cu SF 2802_Markup.pdf www.opm.gov Form and Instruction
SF 2802; SF 2802A CSRS Application for Refund of Retirement Deductions; Cu SF2802_2024_05_Revised.pdf www.opm.gov Form and Instruction
SF 2802; SF 2802A CSRS Application for Refund of Retirement Deductions; Cu SF2802_2024_05_Revised.pdf www.opm.gov 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	CSRS Application for Refund of Retirement Deductions; Current/Former Spouse's Notification for Refund of Retirement Deductions Under CSRS	SF 2802_Markup.pdf	www.opm.gov	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 %

	Requested	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)	135,308	135,308

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.