OMB control number
Claim for Reimbursement of Benefit Payments and Claims Expense Under the War Hazards Compensation Act
OMB 1215-0202 ยท DOL/ESA.
OMB 1215-0202
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CA-278 Claim for Reimbursement of Benefit Payments and Claims Expense Under the War Hazards Compensation Act | Form |
 DOL_GOVT-1.doc | Supplementary Document |
| SS for 1215-0202 CA-278 (January 2007).doc | Supporting Statement A |
 Claim for Reimbursement of Benefit Payments and Claims Expense Under the War Hazards Compensation Act |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 200612-1215-003 | Extension without change of a currently approved collection | 2007-05-22 | Approved without change | |
| 200402-1215-001 | New collection (Request for a new OMB Control Number) | 2004-02-19 | Approved without change |