Combined Federal Campaign (CFC) Form 1654-B (Retiree Pledge Form)

OMB 3206-0271

Abstract: The Combined Federal Campaign (CFC) is the world’s largest and most successful annual workplace philanthropic giving campaign. The mission of the CFC is to promote and support philanthropy through a program that is employee-focused, cost-efficient, and effective in providing all federal employees the opportunity to improve the quality of life for all. With the signing of Executive Order 13743 on October 13, 2016, authorizing the solicitation of federal annuitants, the Combined Federal Campaign Annuitant Pledge Form will be used to collect and process federal annuitant and military retirees’ pledges through the Combined Federal Campaign.

The latest form for Combined Federal Campaign (CFC) Form 1654-B (Retiree Pledge Form) expires 2024-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Statement A 1654 B Retiree 3206 0271 (Revised 29 SEP 2020).docx Supporting Statement A
30 Day Notice 42444 ICR 3206 0271.pdf Supplementary Document
60 Day Notice 20726 3206 0271.pdf Supplementary Document
CFC SORN 2019 .docx Supplementary Document
Annuitant Pledge Form

All Historical Document Collections

202009-3206-004	Revision of a currently approved collection	2020-09-29
201711-3206-001 Approved with change	New collection (Request for a new OMB Control Number)	2017-11-03