OMB control number

Designation of Beneficiary (CSRS and FERS)

OMB 3206-0173 · OPM.

OMB 3206-0173

This form is used by employees and annuitants covered under the Federal Employees Retirement System to designate a beneficiary to receive any lump sum due in the event of his/her death. The form was revised to update the Privacy Act Statement.

The latest form for Designation of Beneficiary (CSRS and FERS) expires 2021-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form SF 3102 SF 3102, Designation of Beneficiary (FERS) Form and Instruction
OMB_Justification_SF3102_2022_07_11.docx Justification for No Material/Nonsubstantive Change
OMB_Justification_SF3102_2022_03_07.docx Justification for No Material/Nonsubstantive Change
SF3102_30dayFRN_Published_2021_06_30.pdf Supplementary Document
2020-17686.pdf Supplementary Document
E8-5659.pdf Supplementary Document
SF 3102 Citations.pdf Supplementary Document
SF3102_OMBSuppStmt_2021_02_09.docx Supporting Statement A
SF 3102, Designation of Beneficiary (FERS) Form and Instruction

All Historical Document Collections

202207-3206-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2022-07-14
202203-3206-005 Approved without change	No material or nonsubstantive change to a currently approved collection	2022-03-07
202106-3206-013 Approved without change	Revision of a currently approved collection	2021-06-30
201802-3206-002 Approved with change	Revision of a currently approved collection	2018-02-22
201501-3206-003 Approved without change	Revision of a currently approved collection	2015-01-26
201112-3206-001 Approved without change	Revision of a currently approved collection	2011-12-12
200903-3206-002 Approved without change	Extension without change of a currently approved collection	2009-03-25
200510-3206-003 Approved with change	Revision of a currently approved collection	2005-10-05
200206-3206-001 Approved with change	Revision of a currently approved collection	2002-06-14
199906-3206-001 Approved without change	Reinstatement with change of a previously approved collection	1999-06-09
199604-3206-001 Approved without change	Reinstatement without change of a previously approved collection	1996-04-04
199301-3206-001 Approved without change	Revision of a currently approved collection	1993-01-07
199012-3206-003 Approved without change	Reinstatement with change of a previously approved collection	1990-12-12
198706-3206-002 Approved without change	Extension without change of a currently approved collection	1987-06-23
198704-3206-003 Approved without change	New collection (Request for a new OMB Control Number)	1987-04-06