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Form DPRS 2809 DPRS 2809 Request to Change FEHB or to Receive Plan Brochures for
Request to Change FEHB Enrollment or to Receive Plan Brochures for Spouse Equity/Temporary Continuation of Coverage Enrollees/Direct Pay Annuitants
DPRS 2809
Request to Change FEHB Enrollment or to Receive Plan Brochures for Spouse Equity/Temporary Continuation of Coverage Enrollees/Direct Pay Annuitants
OMB: 0505-0024
OMB.report
USDA/OCFO
OMB 0505-0024
ICR 201206-0505-001
IC 33692
Form DPRS 2809 DPRS 2809 Request to Change FEHB or to Receive Plan Brochures for
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0505-0024 can be found here:
2021-10-29 - Revision of a currently approved collection
2018-09-12 - Reinstatement without change of a previously approved collection
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File Modified
2011-08-18
File Created
2011-08-18
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