Information Collection Request

Claims Under the Radiation Exposure Compensation Act (RECA)

ICR 200804-1105-001 · OMB 1105-0052 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CIV-RECA-1 Claims Under the Radiation Exposure Compensation Act (RECA) Form and Instruction Modified Available
SUPPORTING STATEMENT OMB NO 1105-0052 2008 Renewal.pdf Supporting Statement A Uploaded 2008-07-22 Available
60 and 30 Day Federal Register Notices.pdf Supplementary Document Uploaded 2008-07-18 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
11747 Claims Under the Radiation Exposure Compensation Act (RECA) Form and Instruction Modified

ICR Details

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table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2011 36 Months From Approved 11/30/2008
2,000 0 3,000
5,000 0 7,500
0 0 0





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table that charts list of burden
IC Title Form No. Form Name
Claims Under the Radiation Exposure Compensation Act (RECA) CIV-RECA-1 Radiation Exposure Compensation Program Claim Form

table that charts list of burden
  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 2,000 3,000 0 -1,000 0 0
Annual Time Burden (Hours) 5,000 7,500 0 -2,500 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


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  No