Certification of Funeral Expenses

OMB 1215-0027

OMB 1215-0027

Latest Forms, Documents, and Supporting Material

Document Name
Form LS-265 Certification of Funeral Expenses Form
20 CFR 702.121.pdf Supplementary Document
33 USC section 909.doc Supplementary Document
DOL-ESA-15.pdf Supplementary Document
SS for 1215-0027 (LS-265) Sept 2007.doc Supporting Statement A
Certification of Funeral Expenses Form

All Historical Document Collections

200709-1215-005 Approved without change	Extension without change of a currently approved collection	2008-01-25
200502-1215-002 Approved without change	Extension without change of a currently approved collection	2005-02-04
200202-1215-001 Approved without change	Revision of a currently approved collection	2002-02-28
199904-1215-001 Approved without change	Revision of a currently approved collection	1999-04-02
199604-1215-003 Approved without change	Extension without change of a currently approved collection	1996-04-05
199303-1215-004 Approved without change	Extension without change of a currently approved collection	1993-03-08
199003-1215-002 Approved without change	Extension without change of a currently approved collection	1990-03-16
198705-1215-001 Approved without change	Extension without change of a currently approved collection	1987-05-22
198407-1215-005 Approved without change	Revision of a currently approved collection	1984-07-16
198309-1215-021 Approved with change	No material or nonsubstantive change to a currently approved collection	1983-09-06
198107-1215-007 Approved with change	No material or nonsubstantive change to a currently approved collection	1981-07-17
198008-1215-001 Approved without change	Extension without change of a currently approved collection	1980-08-12
197508-1215-001 Approved without change	Revision of a currently approved collection	1975-08-26

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