OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Designation of Beneficiary (CSRS and FERS)

OMB 3206-0173 ยท 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 is listed under ICR 201802-3206-002.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
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.docxSupporting Statement A
SF 3102, Designation of Beneficiary (FERS) Form and Instruction

All Historical Document Collections

Historical document collections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