Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Claim for Compensation by a Dependent Information Reports Modified 2920 1571 1431 Form and Instruction CA-5 Claim for Compensaion by Widow, Widower, and/or Children
Form CA-1031 Claimant Support of Dependent
Form and Instruction CA-5B Claim for Compensation by Parents, Brothers, Sisters, Grandparents, or Grandshildren
Form CA-1074 Request for Clarification of CA-5b
Other-Letter
Other-Letter
Total burden requested under this ICR: 2920 1571 1431  
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