Standard Form 2817, Life Insurance Election, is used by Federal employees and assignees (those who have acquired control of an employee/annuitant's coverage through an assignment or ''transfer'' of the ownership of the life insurance).
The latest form for Life Insurance Election expires 2021-06-30 and can be found here.
Document Name |
---|
Form and Instruction |
Justification for No Material/Nonsubstantive Change |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supporting Statement A |
Approved without change |
No material or nonsubstantive change to a currently approved collection | 2022-03-07 | |
Approved with change |
Revision of a currently approved collection | 2021-07-13 | |
Approved with change |
Reinstatement with change of a previously approved collection | 2018-03-14 | |
Approved without change |
Revision of a currently approved collection | 2014-08-29 | |
Approved without change |
Revision of a currently approved collection | 2011-06-22 | |
Approved without change |
Reinstatement without change of a previously approved collection | 2009-04-30 | |
Approved without change |
Extension without change of a currently approved collection | 2005-08-19 | |
Approved without change |
Extension without change of a currently approved collection | 2003-04-21 | |
Approved without change |
Reinstatement with change of a previously approved collection | 2000-03-09 | |
Approved without change |
Revision of a currently approved collection | 1999-02-22 | |
Approved without change |
New collection (Request for a new OMB Control Number) | 1996-12-18 |