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Agenda
Reg Review
ICR
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
To view an IC, click on IC Title