OMB control number

Application for Continuation of Death Benefit for Student

OMB 1240-0026 · DOL/OWCP.

OMB 1240-0026

Form LS-266 is used as an application for continuation of death benefits for a dependent who is a student.

The latest form for Application for Continuation of Death Benefit for Student expires 2026-11-30 and is listed under ICR 202309-1240-004.

Latest forms, documents, and information collections
Document	Type
Form LS-266 Application for Continuation of Death Benefit for Student	Form and Instruction
Supporting Statement for 1240-0026 --10-31-2023_MNclean.docx	Supporting Statement A
2023 60-Day FRN_1240-0026.pdf	Supplementary Document
33 USC 939 (a).doc	Supplementary Document
33 USC 902(18).doc	Supplementary Document
Application for Continuation of Death Benefit for Student	Form and Instruction

Historical document collections
Reference	Filing	Received	Action
202309-1240-004	Revision of a currently approved collection	2023-10-17	Approved without change
202012-1240-002	No material or nonsubstantive change to a currently approved collection	2020-12-15
202001-1240-003	Revision of a currently approved collection	2020-05-27	Approved without change
201611-1240-005	Extension without change of a currently approved collection	2017-03-02	Approved without change
201506-1240-007	Revision of a currently approved collection	2015-06-05	Approved without change
201412-1240-008	No material or nonsubstantive change to a currently approved collection	2015-03-12	Preapproved
201409-1240-011	No material or nonsubstantive change to a currently approved collection	2014-09-30	Approved without change
201311-1240-002	Extension without change of a currently approved collection	2014-02-21	Approved without change
201009-1240-001	Extension without change of a currently approved collection	2011-01-25	Approved without change
201003-1240-026	Extension without change of a currently approved collection	2010-03-12	Approved with change