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Federal forms, ICRs, and supporting documents

OMB control number

Court Orders Affecting Retirement Benefits - 5 CFR 838.221, 838.421, and 838.721

OMB 3206-0204 · OPM.

OMB 3206-0204

5 CFR 838.221, 838.421, and 838.721 require former spouses of Federal employees to write to OPM, providing specific information needed for OPM to make court-ordered benefit payments. This information is needed to identify affected employees and to certify that the court order remains in effect.

The latest form for Court Orders Affecting Retirement Benefits - 5 CFR 838.221, 838.421, and 838.721 expires 2020-11-30 and is listed under ICR 201704-3206-001.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
COARB_Published_30DayFR_Notice_2017_03_28.pdf Supplementary Document
COARB_60DayFRN_Published_2016_07_21.pdf Supplementary Document
COARB_OMB_SupportingStmt_2017_01_12.docSupporting Statement A
Court Orders Affecting Retirement Benefits - 5 CFR 838.221, 838.421, and 838.721 Other-Regulation

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201704-3206-001 Extension without change of a currently approved collection 2017-05-15 Approved without change
201405-3206-002 Extension without change of a currently approved collection 2014-05-21 Approved without change
201106-3206-003 Extension without change of a currently approved collection 2011-06-07 Approved without change
200807-3206-002 Extension without change of a currently approved collection 2008-07-18 Approved without change
200503-3206-004 Extension without change of a currently approved collection 2005-03-28 Approved without change
200203-3206-004 Reinstatement without change of a previously approved collection 2002-03-21 Approved without change
199807-3206-001 Extension without change of a currently approved collection 1998-07-27 Approved without change
199501-3206-002 Extension without change of a currently approved collection 1995-01-04 Approved without change
199302-3206-004 No material or nonsubstantive change to a currently approved collection 1993-02-24 Approved with change
199112-3206-002 New collection (Request for a new OMB Control Number) 1991-12-24 Approved without change