Information Collection Request
Claim for Reimbursement of Benefit Payments and Claims Expense Under the War Hazards Compensation Act
ICR 202302-1240-004 · OMB 1240-0006 · Active
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1240-0006 can be found here:
Forms and Documents
Document Name | Status |
|---|---|
Form and Instruction |
Modified |
Form and Instruction |
Modified |
Supplementary Document | 2023-02-22 |
Supplementary Document | 2023-02-22 |
Supplementary Document | 2023-02-01 |
Supplementary Document | 2023-02-01 |
Justification for No Material/Nonsubstantive Change | 2022-08-02 |
Justification for No Material/Nonsubstantive Change | 2022-08-02 |
Supplementary Document | 2020-01-08 |
Supplementary Document | 2020-01-08 |
Supporting Statement A | 2022-08-02 |
Supporting Statement A | 2022-08-02 |
Supplementary Document | 2019-11-27 |
Supplementary Document | 2019-11-27 |
Supplementary Document | 2019-11-27 |
Supplementary Document | 2019-11-27 |
Supplementary Document | 2019-11-27 |
Supplementary Document | 2019-11-27 |
Supplementary Document | 2019-11-27 |
Supplementary Document | 2019-11-27 |
Supplementary Document | 2019-11-27 |
Supplementary Document | 2019-11-27 |
Form CA-278 Claim for Reimbursement of Benefit Payments and Claims Expense Under the War Hazards Compensation Act
Justification for Non material change. CA-278 2.21.2023.docx
81 Fed. Reg 47418 (July 21, 2016).pdfIC Document Collections
Claim for Reimbursement of Benefit Payments and Claims Expense Under the War Hazards Compensation ActICR Details
| Status | Active |
|---|---|
| Agency/Subagency | DOL/OWCP |
| OMB Control No | 1240-0006 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202301-1240-008 |
| Date Submitted to OIRA | 2023-02-22 |
| Requested Expiration Date | 1969-12-31 |