OMB control number
War Hazards Compensation Act Claims, Benefits, and Notices
OMB 1240-0006 · DOL/OWCP.
OMB 1240-0006
Information collected using OWCP Form CA-278, Claim for Reimbursement of Benefit Payments and Claims Expense Under the War Hazards Compensation Act, will allow OWCP to consider requests filed by insurance carriers and self-insured that have paid benefits to workers injured due to a war-risk hazard to be reimbursed for such benefits out of the Employees' Compensation Fund.
The latest form for War Hazards Compensation Act Claims, Benefits, and Notices expires 2026-06-30 and can be found here.
Latest Forms, Documents, and Supporting Material
Claim for Reimbursement of Benefit Payments and Claims Expense Under the War Hazards Compensation Act All Historical Document Collections
| Revision of a currently approved collection | 2026-03-17 | ||
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Approved with change |
Extension without change of a currently approved collection | 2023-05-01 | |
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Approved with change |
No material or nonsubstantive change to a currently approved collection | 2023-02-22 | |
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Approved without change |
No material or nonsubstantive change to a currently approved collection | 2023-02-01 | |
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Approved without change |
No material or nonsubstantive change to a currently approved collection | 2022-08-10 | |
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Approved without change |
Extension without change of a currently approved collection | 2020-03-27 | |
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Approved without change |
Revision of a currently approved collection | 2016-12-30 | |
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Approved without change |
Revision of a currently approved collection | 2013-10-29 | |
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Approved without change |
Revision of a currently approved collection | 2010-08-06 | |
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Approved without change |
Extension without change of a currently approved collection | 2010-03-12 |