Information collected using Form CA-278 will allow OWCP to consider requests filed by insurance carriers and self-insured that have paid benefits to workers injured due to a war-risk hazard to be reimbursed for such benefits out of the Employees' Compensation Fund. The program requests clearance by the expiration date of March 31, 2020.
The latest form for Claim for Reimbursement of Benefit Payments and Claims Expense Under the War Hazards Compensation Act expires 2023-07-31 and can be found here.
Document Name |
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Form and Instruction |
Supplementary Document |
Supplementary Document |
Supporting Statement A |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Approved with change |
Extension without change of a currently approved collection | 2023-05-01 | |
Approved with change |
No material or nonsubstantive change to a currently approved collection | 2023-02-22 | |
Approved without change |
No material or nonsubstantive change to a currently approved collection | 2023-02-01 | |
Approved without change |
No material or nonsubstantive change to a currently approved collection | 2022-08-10 | |
Approved without change |
Extension without change of a currently approved collection | 2020-03-27 | |
Approved without change |
Revision of a currently approved collection | 2016-12-30 | |
Approved without change |
Revision of a currently approved collection | 2013-10-29 | |
Approved without change |
Revision of a currently approved collection | 2010-08-06 | |
Approved without change |
Extension without change of a currently approved collection | 2010-03-12 |