Receipt For Backpay, Damages, Or Other Monetary Benefits

OMB 3046-0020

Latest Forms, Documents, and Supporting Material

Document Name
RECEIPT FOR BACKPAY, DAMAGES, OR OTHER MONETARY BENEFITS Form

All Historical Document Collections

198110-3046-001 Approved without change	Extension without change of a currently approved collection	1981-10-13
197909-3046-001 Approved without change	New collection (Request for a new OMB Control Number)	1979-09-14