OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Application for Death Benefits Under the Civil Service Retirement System

ICR 201106-3206-008 · OMB 3206-0156 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form SF 2800 Application for Death Benefits Under the Civil Service Retirement System Form and Instruction Modified Repair queued
JUSTIFICATION TO OMB FOR SF 2800.doc Justification for No Material/Nonsubstantive Change Uploaded 2011-06-21 Available
3206-0156_SS.doc Supporting Statement A Uploaded 2009-06-24 Available
IC Document Collections
IC IDCollectionTypeStatusForm
33627 Application for Death Benefits Under the Civil Service Retirement System Form and Instruction Modified
ICR Details
3206-0156 201106-3206-008
Historical Active 200904-3206-006
OPM
Application for Death Benefits Under the Civil Service Retirement System
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 09/30/2011
Retrieve Notice of Action (NOA) 06/22/2011
  Inventory as of this Action Requested Previously Approved
06/30/2012 06/30/2012 06/30/2012
74,800 0 74,800
56,100 0 56,100
0 0 0
SF 2800, Application for Death Benefits Under CSRS The Department of the Treasury has directed the Office of Personnel Management to inform applicants for benefits that paper checks will no longer be issued to most payees. Those who do not enroll in the Direct Deposit program so that their payments will be deposited to their accounts in a financial institution must contact the Department of the Treasury to obtain a Direct Express debit card. SF 2800 has been revised to contain this information and to inform applicants that it is illegal to use a Direct Express debit card after the death of the owner of the card. SF 2800 is needed to collect information so that OPM can pay death benefits to the survivors of Federal employees and annuitants. SF 2800A is needed for deaths in service so that survivors can make the needed election regarding military service. Every applicant who uses SF 2800 should read SF 2800-1, Applying for Death Benefits under CSRS. This brief booklet provides the general information applicants need to understand what they are applying for.
US Code: 5 USC Chapter 83, Section 8341 Name of Law: Survivor Annuities
   US Code: 5 USC Chapter 83, Section 8342 Name of Law: Lump-sum benefits; designation of beneficiary; order
  
None
Not associated with rulemaking
  73 FR 74536 12/08/2008
74 FR 14171 03/30/2009
No
  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 74,800 74,800 0 0 0 0
Annual Time Burden (Hours) 56,100 56,100 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$1,201,200
No
Yes
No
No
No
Uncollected
Miles Windsor 202 606-8358 [email protected]
  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.
06/22/2011