Information Collection

Claims Under the Radiation Exposure Compensation Act (RECA)

IC 11747 under ICR 200804-1105-001 · OMB 1105-0052.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1105-0052 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CIV-RECA-1 Claims Under the Radiation Exposure Compensation Act (RECA)	Form and Instruction
CIV-RECA-1 Radiation Exposure Compensation Program Claim Form Radiation Exposure Compensation Program Claim Forms.pdf www.usdoj.gov/civil/torts/const/reca/claimform.htm	Form and Instruction

IC Title:

Claims Under the Radiation Exposure Compensation Act (RECA)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CIV-RECA-1	Radiation Exposure Compensation Program Claim Form	Radiation Exposure Compensation Program Claim Forms.pdf	http://www.usdoj.gov/civil/torts/const/reca/claimform.htm	Yes	No	Printable Only

Line of Business: Litigation and Judicial Activities

Subfunction: Resolution Facilitation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,000	-1,000	3,000
Annual IC Time Burden (Hours)	5,000	-2,500	7,500
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.