Information Collection Request
Claim for Compensation by a Dependent Information Reports
ICR 202302-1240-003 · OMB 1240-0013 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1240-0013 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 1240-0013 Supporting Statement--final.docx |
Supporting Statement A | Uploaded 2023-05-01 | Repair queued |
 81 Fed. Reg. 47418 (July 21, 2016).pdf |
Supplementary Document | Uploaded 2023-04-10 | Available |
| b-8 table average hourly and weekly earnings of production and nonsupervisory employees on nonprivate nonfarm payrolls, seasonally adjusted.docx |
Supplementary Document | Uploaded 2023-02-17 | Missing upstream |
| 20 cfr 10.7 etc.docx |
Supplementary Document | Uploaded 2019-10-07 | Repair queued |
| 2023 OPM Salary Table Rus.pdf |
Supplementary Document | Uploaded 2023-02-17 | Repair queued |
| 5 usc 8110 augmented compensation for dependents.docx |
Supplementary Document | Uploaded 2023-04-10 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 13841 |  Claim for Compensation by a Dependent Information Reports |
Other- | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | DOL/OWCP |
| OMB Control No | 1240-0013 |
| Type of Information Collection | Extension without change of a currently approved collection |
| Previous ICR Reference No | 202008-1240-047 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |