Claims Under the Radiation Exposure Compensation Act (RECA)

OMB 1105-0052

Under 42 USC 2210, the Department of Justice would require personal information from individuals applying to receive funds under the Radiation Exposure Compensation Act in order to determine their eligibility.

The latest form for Claims Under the Radiation Exposure Compensation Act (RECA) expires 2021-04-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form OMB Number 1105-00 Claims Under the Radiation Exposure Compensation Act (RECA) Form and Instruction
CIV 30 Day 1105-0052.pdf Supplementary Document
OMB 83I-JCB cert 1-29-15.pdf Supplementary Document
Authorizing Statute_RECA 42 usc 2210.pdf Supplementary Document
1105-0052 Supporting Statement_012915.doc Supporting Statement A
Claims Under the Radiation Exposure Compensation Act (RECA) Form and Instruction

All Historical Document Collections

202104-1105-001 Approved without change	Revision of a currently approved collection	2021-04-28
201803-1105-001 Approved without change	Extension without change of a currently approved collection	2018-03-01
201411-1105-001 Approved without change	Extension without change of a currently approved collection	2015-01-29
201008-1105-004 Approved with change	Revision of a currently approved collection	2011-10-14
200804-1105-001 Approved without change	Extension without change of a currently approved collection	2008-08-11
200507-1105-001 Approved without change	Extension without change of a currently approved collection	2005-07-13
200205-1105-001 Approved without change	Reinstatement with change of a previously approved collection	2002-05-03
199809-1105-001 Approved without change	Reinstatement with change of a previously approved collection	1998-09-23
199603-1105-004 Approved without change	No material or nonsubstantive change to a currently approved collection	1996-03-29
199501-1105-001 Approved without change	Extension without change of a currently approved collection	1995-01-17
199202-1105-001 Approved without change	New collection (Request for a new OMB Control Number)	1992-02-11