30-day FRN (1240-0NEW) published
1240-0NEW 30-day FRN published.pdf
Division of Energy Employees Occupational Illnesses Compensation (DEEOIC) Authorization Request Forms
30-day FRN (1240-0NEW) published
OMB: 1240-0060
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1240-0060 can be found here: