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Death Gratuity Beneficiary Designation
Death Gratuity
OMB: 1240-0017
IC ID: 190277
OMB.report
DOL/OWCP
OMB 1240-0017
ICR 202304-1240-001
IC 190277
( )
Documents and Forms
Document Name
Document Type
Form ca-40
Death Gratuity Beneficiary Designation
Form and Instruction
ca-40 CA-40 Designation of a Recipient of the Federal Employees' Compensation Act Death Gratuity Payment under 5 U.S.C. § 8102a
CA-40.pdf
www.dol.gov/owcp/dfec/regs/compliance/forms.htm
Form and Instruction
Information Collection (IC) Details
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