OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Exchange Employee and Retirement Benefit System

OMB 0702-0139 ยท DOD/DOA.

OMB 0702-0139

This information collection allows the Army and Air Force Exchange Service (AAFES) to administer pay, health insurance, life insurance, and retirement benefits for its current employees, retirees, and their families. The collection is necessary to enroll new employees in benefit programs, process changes, and ensure that retirees and their designated beneficiaries receive correct and timely annuity payments. Most employees manage their benefits online through the secure e-Benefits portal. However, paper forms are also available for retirees and for certain legally required actions, such as applying for retirement annuities. This process is essential for AAFES to manage its employee benefits system effectively and fulfill its obligations to its workforce

The latest form for Exchange Employee and Retirement Benefit System expires 2029-03-31 and is listed under ICR 202512-0702-002.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form Exchange Form 1700 Beneficiary DesignationForm and Instruction
Form Exchange Form 1700 Beneficiary Designation (Exchange Form 1700-012)Form and Instruction
Form Exchange Form 1450 Annuity ApplicationForm and Instruction
Form Exchange Form 1450 Annuity Application (Exchange Form 1450-011)Form and Instruction
0702-0139_DraftPIA_12.31.2025.pdfSupplementary Document
0702-0139_DRAFT PIA_Exchange Personnel Systems.pdf Supplementary Document
0702-0139_Draft SORN_0401.04.docxSupplementary Document
0702-0139_SSN Justification_4.4.2025.pdfSupplementary Document
0702-0139_SSN Justification_2.1.2024.pdf Supplementary Document
0702-0139_SSA_2.12.2026.docxSupporting Statement A
Beneficiary Designation (Exchange Form 1700-012) Form and Instruction
Beneficiary Designation (Exchange Form 1700-012) Form and Instruction
Annuity Application (Exchange Form 1450-011) Form and Instruction
Annuity Application (Exchange Form 1450-011) Form and Instruction
Web-based Health/Benefit Enrollment Other-Website

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202512-0702-002 Extension without change of a currently approved collection 2025-12-30 Approved with change
202209-0702-002 Revision of a currently approved collection 2022-10-25 Approved without change
201909-0702-001 Extension without change of a currently approved collection 2019-09-19 Approved without change
201608-0702-001 Existing collection in use without an OMB Control Number 2016-08-11 Approved without change

OMB Details

Web-based Health/Benefit Enrollment

Federal Enterprise Architecture: Defense and National Security - Operational Defense