SF 2823, Designation of Beneficiary - Federal Employees' Group Life Insurance Program (FEGLI)

OMB 3206-0136

Standard Form 2823 is used by any Federal employee or retiree covered by the Federal Employees' Group Life Insurance (FEGLI) Program, or an assignee who owns an insured's coverage, to instruct the Office of Federal Employees' Group Life Insurance how to distribute the proceeds of the FEGLI coverage when the statutory order of precedence does not meet his or her needs. The Privacy Act Statement has been revised due to a systematic review by our Chief Privacy Officer.

The latest form for SF 2823, Designation of Beneficiary - Federal Employees' Group Life Insurance Program (FEGLI) expires 2023-12-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form SF 2823 Designation of Beneficiary - Federal Employees' Group Life Insurance Program (FEGLI) Form and Instruction
OMB_Justification_SF2823_2022_03_07.docx Justification for No Material/Nonsubstantive Change
SF2823_2014_05_MarkUp.pdf Supplementary Document
E8-5659.pdf Supplementary Document
SF2823_60DayFRNPublished_2020_03_09.pdf Supplementary Document
SF2823_30DayFRNPublished_2020_10_07.pdf Supplementary Document
SF 2823 Supporting Statement.docx Supporting Statement A
Designation of Beneficiary - Federal Employees' Group Life Insurance Program (FEGLI) Form and Instruction

All Historical Document Collections

202203-3206-008 Approved without change	No material or nonsubstantive change to a currently approved collection	2022-03-08
202010-3206-015 Approved without change	Revision of a currently approved collection	2020-11-02
201703-3206-010 Approved without change	Extension without change of a currently approved collection	2017-03-27
201401-3206-001 Approved without change	Revision of a currently approved collection	2014-01-16
201012-3206-002 Approved without change	Reinstatement with change of a previously approved collection	2011-01-04
201004-3206-019 Approved without change	No material or nonsubstantive change to a currently approved collection	2010-04-27
200711-3206-002 Approved without change	Extension without change of a currently approved collection	2007-11-09
200402-3206-006 Approved with change	Revision of a currently approved collection	2004-02-27
200008-3206-002 Approved without change	Reinstatement with change of a previously approved collection	2000-08-18
199605-3206-005 Approved without change	Reinstatement without change of a previously approved collection	1996-05-30
199505-3206-001 Approved without change	Revision of a currently approved collection	1995-05-04
199310-3206-003 Approved without change	Revision of a currently approved collection	1993-10-22
199109-3206-003 Approved without change	Revision of a currently approved collection	1991-09-27
199005-3206-004 Approved without change	Extension without change of a currently approved collection	1990-05-29
198707-3206-007 Approved with change	No material or nonsubstantive change to a currently approved collection	1987-07-28
198704-3206-014 Approved without change	Extension without change of a currently approved collection	1987-04-24
198403-3206-006 Approved without change	New collection (Request for a new OMB Control Number)	1984-03-22