Summary Of Backpay, Damages Or Other Monetary Benefits

OMB 3046-0022

Latest Forms, Documents, and Supporting Material

Document Name
SUMMARY OF BACKPAY, DAMAGES OR OTHER MONETARY BENEFITS Form

All Historical Document Collections

198110-3046-002 Approved without change	Extension without change of a currently approved collection	1981-10-13
197909-3046-003 Approved without change	New collection (Request for a new OMB Control Number)	1979-09-14