Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Death Gratuity Beneficiary Designation Modified 250 63 0 Form and Instruction ca-40
Death Gratuity Official Notice of Employees' Death Modified 11 4 0 Form and Instruction ca-42
Death Gratuity Claim for Survivor Benefits Modified 11 3 5 Form and Instruction ca-41
Total burden requested under this ICR: 272 70 5  
To view an IC, click on IC Title