Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Claim for Compensation by a Dependent Information Reports Modified 1675 964 871 Form CA-1031 Claimant Support of Dependent
Form CA-1074 Request for Clarification of CA-5b
Form and Instruction CA-5 Claim for Compensation by Widow, Widower, and/or Children
Form and Instruction CA-5b Claim for Compensation by Parents, Brothers, Sisters, Grandparents, or Grandchildren
Other-
Other-
Total burden requested under this ICR: 1675 964 871  
To view an IC, click on IC Title