Request for Information on Earnings, Dual Benefits, Dependents, and Third Party Settlements

ICR 202304-1240-010

OMB: 1240-0016

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
 Unchanged
Form and Instruction
 Unchanged
Justification for No Material/Nonsubstantive Change
2023-05-10
Justification for No Material/Nonsubstantive Change
2023-05-04
Justification for No Material/Nonsubstantive Change
2023-05-04
Supplementary Document
2023-04-26
Supplementary Document
2023-04-26
Supplementary Document
2023-04-26
Supplementary Document
2023-04-26
Supplementary Document
2023-04-26
Supplementary Document
2023-04-26
Supplementary Document
2023-04-26
Supplementary Document
2023-04-26
Supplementary Document
2023-04-26
Supplementary Document
2023-04-26
Supplementary Document
2023-04-26
Supplementary Document
2023-04-26
Supplementary Document
2023-04-26
Supplementary Document
2023-04-26
Supplementary Document
2023-04-26
Supplementary Document
2023-04-26
Supplementary Document
2023-04-26
Supplementary Document
2023-04-26
Supporting Statement A
2023-05-10
Supporting Statement A
2022-01-14
Supplementary Document
2020-03-20
Supplementary Document
2020-03-20
Supplementary Document
2020-03-20
Supplementary Document
2020-03-20
Supplementary Document
2020-03-20
Supplementary Document
2020-03-20
Supplementary Document
2020-03-20
Supplementary Document
2020-03-20
Supplementary Document
2020-03-20
Supplementary Document
2020-03-20
IC Document Collections
IC ID
Document
Title
Status
13834 Unchanged
13834 Unchanged
ICR Details
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