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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Death Gratuity Beneficiary Designation
Modified
2600
650
0
Form and Instruction
ca-40
Designation of a Recipient of a FECA Death Gratuity Payment under Section 1105 of Public Law 110-181 (Section 8102a)
Death Gratuity Official Notice of Employees' Death
Modified
10
3
0
Form and Instruction
ca-42
Official Notice of Employees' Death for Purposes of FECA Section 8102a Death Gratuity
Death Gratuity Claim for Survivor Benefits
Modified
25
6
12
Form and Instruction
ca-41
Claim for Survivor Benefits under FECA Section 8102a Death Gratuity
Total burden requested under this ICR:
2635
659
12
To view an IC, click on IC Title