Claim for Death Benefits

OMB 1121-0024

OMB 1121-0024
Latest Forms, Documents, and Supporting Material
Document
Name
Form
Supporting Statement A
All Historical Document Collections
Approved without change
 Reinstatement without change of a previously approved collection 2016-05-25
Withdrawn and continue
 Revision of a currently approved collection 2007-05-21
Approved with change
 Extension without change of a currently approved collection 2004-04-02
Approved without change
 Reinstatement with change of a previously approved collection 2003-10-17
Approved without change
 No material or nonsubstantive change to a currently approved collection 2001-09-14
Approved without change
 Reinstatement with change of a previously approved collection 1999-03-17
Approved without change
 Reinstatement without change of a previously approved collection 1995-08-10
Approved without change
 Revision of a currently approved collection 1992-03-09
Approved without change
 Revision of a currently approved collection 1989-01-27
Approved without change
 Revision of a currently approved collection 1985-12-11
Approved without change
 Revision of a currently approved collection 1983-12-19
Approved without change
 Revision of a currently approved collection 1981-11-13
Approved with change
 No material or nonsubstantive change to a currently approved collection 1981-08-28
Approved without change
 Reinstatement with change of a previously approved collection 1981-02-23
Approved with change
 No material or nonsubstantive change to a currently approved collection 1980-07-31
Approved with change
 No material or nonsubstantive change to a currently approved collection 1977-11-25
Approved without change
 New collection (Request for a new OMB Control Number) 1976-11-05
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