Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Claim for Compensation by Dependents Information Reports Modified 1358 870 638 Form and Instruction CA-5
Form CA-1031
Form and Instruction CA-5B
Form CA-1074
Other-Letter
Other-Letter
Total burden requested under this ICR: 1358 870 638  
To view an IC, click on IC Title