EEOICP Forms for Federal Government

Energy Employees Occupational Illness Compensation Program Act Forms (Various)

OMB: 1215-0197

IC ID: 178684

Documents and Forms
Document Name
Document Type
Other-Letter
Information Collection (IC) Details

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EEOICP Forms for Federal Government
 
No New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Letter EE-13 draft (2007 clearance).doc No   Paper Only

Income Security General Retirement and Disability

DOL/ESA-49  67 FR 16891

51 0
   
Federal Government
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 51 0 51 0 0 0
Annual IC Time Burden (Hours) 816 0 816 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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