OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Claim for Death Benefits

OMB 1121-0024 ยท DOJ/OJP.

OMB 1121-0024

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 3650/5 Claim for Death BenefitsForm
CLAIM FORM JUSTIFICATION 2016.docSupporting Statement A
Claim for Death Benefits Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201605-1121-001 Reinstatement without change of a previously approved collection 2016-05-25 Approved without change
200611-1121-004 Revision of a currently approved collection 2007-05-21 Withdrawn and continue
200404-1121-001 Extension without change of a currently approved collection 2004-04-02 Approved with change
200310-1121-005 Reinstatement with change of a previously approved collection 2003-10-17 Approved without change
200109-1121-004 No material or nonsubstantive change to a currently approved collection 2001-09-14 Approved without change
199903-1121-005 Reinstatement with change of a previously approved collection 1999-03-17 Approved without change
199508-1121-002 Reinstatement without change of a previously approved collection 1995-08-10 Approved without change
199203-1121-005 Revision of a currently approved collection 1992-03-09 Approved without change
198901-1121-002 Revision of a currently approved collection 1989-01-27 Approved without change
198512-1121-002 Revision of a currently approved collection 1985-12-11 Approved without change
198312-1121-003 Revision of a currently approved collection 1983-12-19 Approved without change
198111-1121-002 Revision of a currently approved collection 1981-11-13 Approved without change
198108-1121-029 No material or nonsubstantive change to a currently approved collection 1981-08-28 Approved with change
198102-1121-003 Reinstatement with change of a previously approved collection 1981-02-23 Approved without change
198007-1121-003 No material or nonsubstantive change to a currently approved collection 1980-07-31 Approved with change
197711-1121-003 No material or nonsubstantive change to a currently approved collection 1977-11-25 Approved with change
197611-1121-001 New collection (Request for a new OMB Control Number) 1976-11-05 Approved without change