Claim for Reimbursement of Benefit Payments and Claims Expense Under the War Hazards Compensation Act
ICR 202302-1240-004
OMB: 1240-0006
Federal Form Document
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1240-0006 can be found here:
Forms and Documents
Document Name | Status |
|---|---|
Form and Instruction |
Modified |
Form and Instruction |
Modified |
Supplementary Document | 2023-02-22 |
Supplementary Document | 2023-02-22 |
Supplementary Document | 2023-02-01 |
Supplementary Document | 2023-02-01 |
Justification for No Material/Nonsubstantive Change | 2022-08-02 |
Justification for No Material/Nonsubstantive Change | 2022-08-02 |
Supplementary Document | 2020-01-08 |
Supplementary Document | 2020-01-08 |
Supporting Statement A | 2022-08-02 |
Supporting Statement A | 2022-08-02 |
Supplementary Document | 2019-11-27 |
Supplementary Document | 2019-11-27 |
Supplementary Document | 2019-11-27 |
Supplementary Document | 2019-11-27 |
Supplementary Document | 2019-11-27 |
Supplementary Document | 2019-11-27 |
Supplementary Document | 2019-11-27 |
Supplementary Document | 2019-11-27 |
Supplementary Document | 2019-11-27 |
Supplementary Document | 2019-11-27 |
Form CA-278 Claim for Reimbursement of Benefit Payments and Claims Expense Under the War Hazards Compensation Act
Justification for Non material change. CA-278 2.21.2023.docx
81 Fed. Reg 47418 (July 21, 2016).pdfIC Document Collections
Claim for Reimbursement of Benefit Payments and Claims Expense Under the War Hazards Compensation ActICR Details
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