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

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 can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
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.doc Supporting Statement A
Court Orders Affecting Retirement Benefits - 5 CFR 838.221, 838.421, and 838.721 Other-Regulation

All Historical Document Collections

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