OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Application for Death Benefits Under the Civil Service Retirement System/Documentation and Elections in Support of Application for Death Benefits When Deceased Was an Employee

OMB 3206-0156 · OPM.

OMB 3206-0156

SF 2800 is needed to collect information so that OPM can pay death benefits to the survivors of Federal employees and annuitants. SF 2800A is needed for deaths in service so that survivors can make the needed election regarding military service. Every applicant who uses SF 2800 should read SF 2800-1, Applying for Death Benefits under CSRS. This brief booklet provides the general information applicants need to understand what they are applying for. There are editorial changes to the SF 2800 and SF 2800A which include updating the Privacy Act and Public Burden Statements.

The latest form for Application for Death Benefits Under the Civil Service Retirement System/Documentation and Elections in Support of Application for Death Benefits When Deceased Was an Employee expires 2021-06-30 and is listed under ICR 201804-3206-001.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form SF 2800 Application for Death Benefits Under the Civil Service Retirement SystemForm and Instruction
OMB_Justification_SF 2800A_2022_03_07.docx Justification for No Material/Nonsubstantive Change
SF2800_30dayFRN_Published_2021_06_30.pdf Supplementary Document
2021-02706.pdf Supplementary Document
E8-5659.pdf Supplementary Document
FACES 2017 FINAL 12212017signed.pdf Supplementary Document
ARS PIA Final 12212017signed.pdf Supplementary Document
SF2800_Citations.pdf Supplementary Document
SF2800_SF2800A_OMBSupportingStatement_2021_08_31.docxSupporting Statement A
Application for Death Benefits Under the Civil Service Retirement System Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202203-3206-001 No material or nonsubstantive change to a currently approved collection 2022-03-07 Approved without change
202106-3206-012 Revision of a currently approved collection 2021-06-30 Approved with change
201804-3206-001 Revision of a currently approved collection 2018-04-23 Approved with change
201502-3206-004 Revision of a currently approved collection 2015-02-09 Approved with change
201201-3206-006 Revision of a currently approved collection 2012-01-26 Approved without change
201106-3206-008 No material or nonsubstantive change to a currently approved collection 2011-06-22 Approved without change
200904-3206-006 Revision of a currently approved collection 2009-04-30 Approved without change
200508-3206-002 Revision of a currently approved collection 2005-08-02 Approved without change
200203-3206-001 Extension without change of a currently approved collection 2002-03-19 Approved without change
199901-3206-001 Reinstatement with change of a previously approved collection 1999-01-06 Approved without change
199503-3206-001 Extension without change of a currently approved collection 1995-03-09 Approved without change
199402-3206-003 Extension without change of a currently approved collection 1994-02-16 Approved without change
199102-3206-003 Revision of a currently approved collection 1991-02-22 Approved without change
198812-3206-002 Extension without change of a currently approved collection 1988-12-13 Approved without change
198510-3206-004 Extension without change of a currently approved collection 1985-10-23 Approved without change
198507-3206-004 New collection (Request for a new OMB Control Number) 1985-07-17 Approved without change