SF 2808, Designation of Beneficiary (CSRS)

ICR 201404-3206-001

OMB: 3206-0142

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supplementary Document
2014-04-14
Supplementary Document
2014-04-14
Supporting Statement A
2014-04-14
IC Document Collections
IC ID
Document
Title
Status
33612 Modified
ICR Details
3206-0142 201404-3206-001
Historical Active 201012-3206-003
OPM
SF 2808, Designation of Beneficiary (CSRS)
Extension without change of a currently approved collection   No
Regular
Approved without change 05/16/2014
Retrieve Notice of Action (NOA) 04/15/2014
  Inventory as of this Action Requested Previously Approved
05/31/2017 36 Months From Approved 06/30/2014
2,000 0 2,000
500 0 500
0 0 0

SF 2808 is used by persons covered by Civil Service Retirement System to designate a beneficiary to receive the lump sum due from the Civil Service Retirement and Disability Fund in the event of their death.

US Code: 5 USC Chap 83, Sect 8342 Name of Law: null
  
None

Not associated with rulemaking

  78 FR 66972 11/07/2013
79 FR 20928 04/14/2014
No

1
IC Title Form No. Form Name
Designation of Beneficiary (CSRS) SF 2808 Designation of Beneficiary (CSRS)

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,000 2,000 0 0 0 0
Annual Time Burden (Hours) 500 500 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$8,550
No
No
No
No
No
Uncollected
Steve Pierce 202 606-2560 Steven.Pierce@opm.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
04/15/2014


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