View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 1121-0024	ICR Reference No: 197711-1121-003
Status: Historical Active	Previous ICR Reference No: 197611-1121-001
Agency/Subagency: DOJ/OJP	Agency Tracking No:
Title: CLAIM FOR DEATH BENEFIT
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Emergency	Approval Requested By: 11/25/1977
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/25/1977
	Date Received in OIRA: 11/25/1977
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/1981	12/31/1981	12/31/1981
Responses	700	0	3,000
Time Burden (Hours)	2,000	0	750
Cost Burden (Dollars)	0	0	0

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