OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Survivor's Form for Benefits

OMB 1215-0069 · DOL/ESA.

OMB 1215-0069
Latest Forms, Documents, and Supporting Material
Document
Name
Form
Supplementary Document
Supplementary Document
Supporting Statement A
All Historical Document Collections
Approved without change
 Extension without change of a currently approved collection 2007-06-14
Approved without change
 Extension without change of a currently approved collection 2004-06-15
Approved without change
 Extension without change of a currently approved collection 2001-06-13
Approved without change
 Revision of a currently approved collection 1998-06-09
Approved without change
 Extension without change of a currently approved collection 1996-01-26
Approved without change
 Extension without change of a currently approved collection 1995-02-21
Approved without change
 Revision of a currently approved collection 1992-02-13
Approved without change
 Revision of a currently approved collection 1989-05-04
Approved with change
 No material or nonsubstantive change to a currently approved collection 1989-04-24
Approved without change
 Revision of a currently approved collection 1986-05-30
Approved with change
 No material or nonsubstantive change to a currently approved collection 1983-09-06
Approved without change
 Revision of a currently approved collection 1983-09-26
Approved with change
 No material or nonsubstantive change to a currently approved collection 1983-07-22
Approved with change
 No material or nonsubstantive change to a currently approved collection 1978-12-31
Approved without change
 Revision of a currently approved collection 1978-08-17