Information Collection Request
Claim for Reimbursement of Benefit Payments and Claims Expense Under the War Hazards Compensation Act
ICR 202303-1240-003 · OMB 1240-0006 · Received in OIRA
⚠️ Notice: This information collection may be outdated.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 |
Supplementary Document | 2023-03-30 |
Supplementary Document | 2023-03-30 |
Supporting Statement A | 2023-04-25 |
Supplementary Document | 2023-04-04 |
Supplementary Document | 2023-04-04 |
Supplementary Document | 2023-04-04 |
Form CA-278 Claim for Reimbursement of Benefit Payments and Claims Expense Under the War Hazards Compensation Act
81 Fed. Reg. 47418 (July 21, 2016).pdf
Supporting Statement 1240-0006_2023.docxIC Document Collections
| IC ID | Document Title | Status | |
|---|---|---|---|
| 13940 | Modified |
Claim for Reimbursement of Benefit Payments and Claims Expense Under the War Hazards Compensation ActICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | DOL/OWCP |
| OMB Control No | 1240-0006 |
| Type of Information Collection | Extension without change of a currently approved collection |
| Previous ICR Reference No | 202302-1240-004 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |