Application for Refund of Retirement Deductions (CSRS) Current/Former Spouse's Notification of Application for Refund

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0128 can be found here:

Documents and Forms

Document Name Document Type
Form SF 2802; SF 2802A Application for Refund of Retirement Deductions (CSRS) Current/Former Spouse's Notification of Application for Refund Form and Instruction
SF 2802; SF 2802A CSRS Application for Refund of Retirement Deductions; Cu SF2802_2021_01_MarkUp.pdf www.opm.gov Form and Instruction
SF 2802; SF 2802A CSRS Application for Refund of Retirement Deductions; Cu SF2802_2021_01_MarkUp.pdf www.opm.gov Form and Instruction
SF 2802; SF 2802A CSRS Application for Refund of Retirement Deductions; Cu SF2802_2018_02_MarkUp.pdf www.opm.gov Form and Instruction
SF 2802; SF 2802A CSRS Application for Refund of Retirement Deductions; Cu SF2802_2018_02_MarkUp.pdf www.opm.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Refund of Retirement Deductions (CSRS) Current/Former Spouse's Notification of Application for Refund	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 831.2002

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SF 2802; SF 2802A	CSRS Application for Refund of Retirement Deductions; Current/Former Spouse's Notification for Refund of Retirement Deductions Under CSRS	SF2802_2021_01_MarkUp.pdf	www.opm.gov	Yes	No	Fillable Printable
Form and Instruction	SF 2802; SF 2802A	CSRS Application for Refund of Retirement Deductions; Current/Former Spouse's Notification for Refund of Retirement Deductions Under CSRS	SF2802_2018_02_MarkUp.pdf	www.opm.gov	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records
Title: OPM/Central-1	FR Citation: 73 FR 15013

Number of Respondents: 7,130	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	7,130	0	7,130
Annual IC Time Burden (Hours)	4,588	0	4,588
Annual IC Cost Burden (Dollars)	135,308	135,308	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.