Data for Payment of Retired Personnel

OMB 0704-0569

To collect information needed to establish a retired/retainer pay account for members of the Uniformed Services who are retiring or reaching the age of eligibility to receive retired pay. This includes designation of beneficiaries for unpaid retired pay, state tax withholding election, lump sum of retired pay election, information on dependents, and election of Survivor Benefit Plan coverage.

The latest form for Data for Payment of Retired Personnel expires 2023-07-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form DD 2656-10 Survivor Benefit Plan/Reserve Component Survivor Benefit Plan Request for Deemed Election Form and Instruction
Form DD 2656-8 Survivor Benefit Plan (SBP) Automatic Coverage Fact Sheet Form and Instruction
Form DD 26560-7 Verification for Survivor Annuity Form and Instruction
Form DD 2656-6 Survivor Benefit Plan (SBP) Election Change Certificate Form and Instruction
Form DD 2656-5 Reserve Component Survivor Benefit Program Election Certificate Form and Instruction
Form DD 2656-2 Survivor Benefit Plan (SBP) Termination Request Form and Instruction
Form DD 2656-1 Survivor Benefit Plan (SBP) Election Statement for Former Spouse Coverage Form and Instruction
Form DD 2656 Data For Payment of Retired Personnel Form and Instruction
0704-0569_SSA_7.26.2023.docx Supporting Statement A
0704-0569_SSN-Justification_5.8.2020.pdf Supplementary Document
Survivor Benefit Plan/Reserve Component Survivor Benefit Plan Request for Deemed Election Form and Instruction
Survivor Benefit Plan (SBP) Automatic Coverage Fact Sheet Form and Instruction
Verification for Survivor Annuity Form and Instruction
Survivor Benefit Plan (SBP) Election Change Certificate Form and Instruction
Reserve Component Survivor Benefit Program Election Certificate Form and Instruction
Survivor Benefit Plan (SBP) Termination Request Form and Instruction
Survivor Benefit Plan (SBP) Election Statement for Former Spouse Coverage Form and Instruction
Data For Payment of Retired Personnel Form and Instruction

All Historical Document Collections

202304-0704-002 Approved without change	Extension without change of a currently approved collection	2023-07-26
202001-0704-002 Approved without change	Revision of a currently approved collection	2020-05-19
201807-0704-004 Approved without change	Revision of a currently approved collection	2018-07-27
201711-0704-002 Approved with change	New collection (Request for a new OMB Control Number)	2017-11-30

OMB Details

Data For Payment of Retired Personnel

Federal Enterprise Architecture: Defense and National Security - Operational Defense

Form DD 2656

Data for Payment of Retired Personnel

Fillable Fileable Signable

Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.