OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

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

OMB 3206-0136 · OPM.

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 is listed under ICR 202010-3206-015.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
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.docxSupporting Statement A
Designation of Beneficiary - Federal Employees' Group Life Insurance Program (FEGLI) Form and Instruction

All Historical Document Collections

Historical document collections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