Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Death Gratuity Beneficiary Designation Modified 2600 650 0 Form and Instruction ca-40
Death Gratuity Official Notice of Employees' Death Unchanged 10 3 0 Form and Instruction ca-42
Death Gratuity Claim for Survivor Benefits Unchanged 25 6 12 Form and Instruction ca-41
Total burden requested under this ICR: 2635 659 12  
To view an IC, click on IC Title