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CA-40 - Designation of a Recipient of the Federal Employees' Compensation Act Death Gratuity Payment under 5 U.S.C. § 8102a
ICR 202304-1240-001 · OMB 1240-0017 · Object 130880801.
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Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | CA-40 - Designation of a Recipient of the Federal Employees' Compensation Act Death Gratuity Payment under 5 U.S.C. § 8102a |
| Author | OWCP - United States Department of Labor |
| File Modified | 2023-05-05 |
| File Created | 2023-05-05 |
| Conversion State | complete |