Request to Change FEHB Enrollment or to Receive Plan Brochures for Spouse Equity/Temporary Continuation of Coverage Enrollees/Direct Pay Annuitants

OMB 3206-0202

Latest Forms, Documents, and Supporting Material

Document Name
Form DPRS 2809 Request to Change FEHB Enrollment or to Receive Plan Brochures for Spouse Equity/Temporary Continuation of Coverage Enrollees/Direct Pay Annuitants Form and Instruction
2011 Markups.pdf Supplementary Document
2008 Markups.pdf Supplementary Document
30-day FRN.pdf Supplementary Document
60-day FRN.pdf Supplementary Document
DPRS2809_OMBSuppStmt_7_2011.doc Supporting Statement A
Request to Change FEHB Enrollment or to Receive Plan Brochures for Spouse Equity/Temporary Continuation of Coverage Enrollees/Direct Pay Annuitants Form and Instruction