Statement of Claim for filing of Claims in the Guam Claims Program Pursuant to the Guam World War II Loyalty Recognition Act

OMB 1105-0102

Guam Program Claims Form Abstract DOJ’s Foreign Claims Settlement Commission is requesting PRA approval of a new collection that would request information regarding the injuries suffered by individuals as a result of the attack and occupation of Guam by Imperial Japanese military forces during World War II, or incident to the liberation of Guam by United States military forces for the purpose of obtaining compensation pursuant to the Guam World War II Loyalty Recognition Act, Title XVII, Public Law 114-328 (December 23, 2016).

The latest form for Statement of Claim for filing of Claims in the Guam Claims Program Pursuant to the Guam World War II Loyalty Recognition Act expires 2023-09-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form FCSC-2 Statement of Claim for filing of Claims in the Guam Claims Program Pursuant to the Guam World War II Loyalty Recognition Act Form and Instruction
SORN Submission.pdf Supplementary Document
Guam Claim Form - Chamorro.pdf Supplementary Document
Guam Claim Form - English.pdf Supplementary Document
SORN Letter to Mick Mulvaney_1105-NEW.pdf Supplementary Document
omb-83i - Guam - Signed Final (002).pdf Supporting Statement A
Statement of Claim for filing of Claims in the Guam Claims Program Pursuant to the Guam World War II Loyalty Recognition Act Form and Instruction

All Historical Document Collections

202006-1105-001 Approved without change	Revision of a currently approved collection	2020-06-26
201702-1105-001 Approved without change	New collection (Request for a new OMB Control Number)	2017-04-18