OMB control number
RI 76-10 Assignment, Federal Employees' Group Life Insurance (FEGLI) Program
OMB 3206-0270 · OPM.
OMB 3206-0270
RI 76-10 allows an insured individual to transfer ownership, or “assign” the FEGLI coverage, to a third party. An insured may assign for several reasons; for example, for financial planning purposes, or to comply with a court order, or to sell the coverage to a third-party. Unlike a designation of beneficiary, once an assignment is executed, it is irrevocable. The Privacy Act Statement has been revised due to a systematic review by our Chief Privacy Officer.
The latest form for RI 76-10 Assignment, Federal Employees' Group Life Insurance (FEGLI) Program expires 2023-02-28 and is listed under ICR 201911-3206-002.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 E8-5659.pdf | Supplementary Document |
| RI76-10_30DayPublished_2019_11_08.pdf | Supplementary Document |
| RI76-010_60DayFRNPublished_2019_04_17.pdf | Supplementary Document |
 RI 76-10 Supporting Statement_2020_Revised.docx | Supporting Statement A |
 RI 76-10 Assignment, Federal Employees' Group Life Insurance (FEGLI) Program |
Information collection |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201911-3206-002 | Revision of a currently approved collection | 2019-11-30 | Approved with change | |
| 201510-3206-001 | New collection (Request for a new OMB Control Number) | 2015-10-13 | Approved with change |