Information Collection

Claims Under the Radiation Exposure Compensation Act (RECA)

IC 11747 under ICR 202508-1105-001 · OMB 1105-0052.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1105-0052 can be found here:

2026-02-25 - Extension without change of a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OMB Number 1105-00 Claims Under the Radiation Exposure Compensation Act (RECA)	Form and Instruction
Form OMB Number 1105-00 RECA Uranium Mine Claims Under the Radiation Exposure Compensation Act (RECA)	Form and Instruction
Form OMB Number 1105-00 RECA Uranium Ore Claims Under the Radiation Exposure Compensation Act (RECA)	Form and Instruction
Form OMB 1105-0052 RECA Downwinder Claim Form Claims Under the Radiation Exposure Compensation Act (RECA)	Form and Instruction
Form OMB #1105-0052 RECA onsite participant claim form Claims Under the Radiation Exposure Compensation Act (RECA)	Form and Instruction
Form OMB #1103-0052 RECA Uranium Worker Claim Form Claims Under the Radiation Exposure Compensation Act (RECA)	Form and Instruction
Form OMB #1103-0052 RECA Manhattan Project Waste Claim Form Claims Under the Radiation Exposure Compensation Act (RECA)	Form and Instruction
OMB Number 1105-00 RECA Uranium Mine RECA Uranium Mine_revised_091311.pdf www.usdoj.gov/civil/torts/const/reca/claimform.htm	Form and Instruction
OMB Number 1105-00 RECA Uranium Mine RECA Uranium Mine_revised_091311.pdf www.usdoj.gov/civil/torts/const/reca/claimform.htm	Form and Instruction
OMB Number 1105-00 RECA Uranium Ore RECA Uranium Ore_revised_091311.pdf www.usdoj.gov/civil/torts/const/reca/claimform.htm	Form and Instruction
OMB Number 1105-00 RECA Uranium Ore RECA Uranium Ore_revised_091311.pdf www.usdoj.gov/civil/torts/const/reca/claimform.htm	Form and Instruction
OMB 1105-0052 RECA Downwinder Claim Form RECA DOWNWINDER CLAIM FORM_25_07_23.docx	Form and Instruction
OMB 1105-0052 RECA Downwinder Claim Form RECA DOWNWINDER CLAIM FORM_25_07_23.docx	Form and Instruction
OMB #1105-0052 RECA onsite participant claim form RECA ONSITE PARTICIPANT CLAIM FORM_25_07_23.docx	Form and Instruction
OMB #1105-0052 RECA onsite participant claim form RECA ONSITE PARTICIPANT CLAIM FORM_25_07_23.docx	Form and Instruction
OMB #1103-0052 RECA Uranium Worker Claim Form RECA URANIUM WORKER CLAIM FORM_25_07_23 jcb.docx	Form and Instruction
OMB #1103-0052 RECA Uranium Worker Claim Form RECA URANIUM WORKER CLAIM FORM_25_07_23 jcb.docx	Form and Instruction
OMB #1103-0052 RECA Manhattan Project Waste Claim Form RECA MANHATTAN PROJECT WASTE CLAIM FORM_25_07_23.docx	Form and Instruction
OMB #1103-0052 RECA Manhattan Project Waste Claim Form RECA MANHATTAN PROJECT WASTE CLAIM FORM_25_07_23.docx	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Claims Under the Radiation Exposure Compensation Act (RECA)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	OMB Number 1105-0052	http://www.usdoj.gov/civil/torts/const/reca/claimform.htm	Yes	No	Printable Only
Form and Instruction	OMB Number 1105-0052	http://www.usdoj.gov/civil/torts/const/reca/claimform.htm	Yes	No	Printable Only
Form and Instruction	OMB 1105-0052		Yes	Yes	Fillable Fileable
Form and Instruction	OMB #1105-0052		Yes	Yes	Fillable Fileable
Form and Instruction	OMB #1103-0052		Yes	Yes	Fillable Fileable
Form and Instruction	OMB #1103-0052		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Litigation and Judicial Activities

Subfunction: Resolution Facilitation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 70,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	70,000	70,000
Annual IC Time Burden (Hours)	87,500	87,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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