Designation of Beneficiary - Federal Employees' Group Life Insurance Program (FEGLI)

SF 2823, Designation of Beneficiary - Federal Employees' Group Life Insurance Program (FEGLI)

OMB: 3206-0136

IC ID: 33600

Information Collection (IC) Details

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Designation of Beneficiary - Federal Employees' Group Life Insurance Program (FEGLI)
 
No Modified
 
Voluntary
 
5 CFR 870.802 5 CFR 870.909

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SF 2823 Designation of Beneficiary, Federal Employees' Group Life Insurance Program_Revised SF2823_2020_07_Revised.pdf Yes No Fillable Printable

General Government Executive Functions

OPM/Central-1  73 FR 15013

48,000 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 48,000 0 0 0 0 48,000
Annual IC Time Burden (Hours) 12,000 0 0 0 0 12,000
Annual IC Cost Burden (Dollars) 0 0 -2,685 2,685 0 0

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