Information Collection Request

Claims Under the Radiation Exposure Compensation Act (RECA)

ICR 202507-1105-001 · OMB 1105-0052 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form OMB #1103-0052 RECA Manhattan Project Waste Claim Form Form and Instruction Modified Available
Form OMB #1103-0052 RECA Uranium Worker Claim Form Form and Instruction Modified Available
Form OMB #1105-0052 RECA onsite participant claim form Form and Instruction Modified Available
Form OMB 1105-0052 RECA Downwinder Claim Form Form and Instruction Modified Available
Form OMB Number 1105-00 RECA Uranium Ore Form and Instruction Modified Available
Form OMB Number 1105-00 RECA Uranium Mine Form and Instruction Modified Available
Form OMB Number 1105-00 Claims Under the Radiation Exposure Compensation Act (RECA) Form and Instruction Modified Available
CIV 30 Day 1105-0052.pdf Supplementary Document Uploaded 2018-03-01 Repair queued
CIV 30 Day 1105-0052.pdf Supplementary Document Uploaded 2018-03-01 Repair queued
OMB 83I-JCB cert 1-29-15.pdf Supplementary Document Uploaded 2015-01-29 Available
OMB 83I-JCB cert 1-29-15.pdf Supplementary Document Uploaded 2015-01-29 Repair queued
Authorizing Statute_RECA 42 usc 2210.pdf Supplementary Document Uploaded 2011-09-13 Available
Authorizing Statute_RECA 42 usc 2210.pdf Supplementary Document Uploaded 2011-09-13 Repair queued
RECA Supporting Statement A 2025 07 30.docx Supporting Statement A Uploaded 2025-07-31 Repair queued
1105-0052 Supporting Statement_012915.doc Supporting Statement A Uploaded 2015-01-29 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
11747 Claims Under the Radiation Exposure Compensation Act (RECA) Form and Instruction ModifiedRECA Manhattan Project Waste Claim Form
11747 Claims Under the Radiation Exposure Compensation Act (RECA) Form and Instruction ModifiedRECA Uranium Worker Claim Form
11747 Claims Under the Radiation Exposure Compensation Act (RECA) Form and Instruction ModifiedRECA onsite participant claim form
11747 Claims Under the Radiation Exposure Compensation Act (RECA) Form and Instruction ModifiedRECA Downwinder Claim Form
11747 Claims Under the Radiation Exposure Compensation Act (RECA) Form and Instruction ModifiedRECA Uranium Ore
11747 Claims Under the Radiation Exposure Compensation Act (RECA) Form and Instruction ModifiedRECA Uranium Mine
11747 Claims Under the Radiation Exposure Compensation Act (RECA) Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2026 6 Months From Approved
70,000 0 0
87,500 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Claims Under the Radiation Exposure Compensation Act (RECA) OMB #1103-0052, OMB #1103-0052, OMB Number 1105-0052, OMB Number 1105-0052, OMB #1105-0052, OMB 1105-0052 ,   ,   ,   ,   ,  

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 70,000 0 0 68,000 0 2,000
Annual Time Burden (Hours) 87,500 0 0 82,500 0 5,000
Annual Cost Burden (Dollars) 0 0 0 -50,000 0 50,000


Reginfo record details
  No