Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Claim for Reimbursement of Benefit Payments and Claims Expense Under the War Hazards Compensation Act Modified 345 173 542 Form and Instruction CA-278 Claim for Reimbursement of Benefit Payments and Claims Expense Under the War Hazards Compensation Act
Total burden requested under this ICR: 345 173 542  
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