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Dol/owcp-3
PRIVACY ACT SYSTEMS - EFF. 2019.docx
Certification of Funeral Expenses
DOL/OWCP-3
OMB: 1240-0040
OMB.report
DOL/OWCP
OMB 1240-0040
ICR 202012-1240-003
Dol/owcp-3
( Supplementary Document )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1240-0040 can be found here:
2023-10-17 - Revision of a currently approved collection
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https://www.dol.gov/sol/privacy/dol-owcp-3.htm
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Author
Jordan, Cheryl B - OWCP
File Modified
0000-00-00
File Created
2021-01-12
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