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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
OMB.report
OPM
OMB 3206-0136
ICR 202203-3206-008
IC 33600
( )
Documents and Forms
Document Name
Document Type
Form SF 2823
Designation of Beneficiary - Federal Employees' Group Life Insurance Program (FEGLI)
Form and Instruction
SF 2823 Designation of Beneficiary, Federal Employees' Group Lif
SF2823_2020_07_Revised.pdf
Form and Instruction
SF 2823 Designation of Beneficiary, Federal Employees' Group Lif
SF2823_2020_07_Revised.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Designation of Beneficiary - Federal Employees' Group Life Insurance Program (FEGLI)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
5 CFR 870.909
5 CFR 870.802
Information Collection Instruments:
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
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Executive Functions
Privacy Act System of Records
Title:
OPM/Central-1
FR Citation:
73 FR 15013
Number of Respondents:
48,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
0
0
0
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.