Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Claim for Compensation by a Dependent Information Reports Modified 1675 964 871 Form CA-1031
Form CA-1074
Form and Instruction CA-5
Form and Instruction CA-5b
Other-
Other-
Total burden requested under this ICR: 1675 964 871  
To view an IC, click on IC Title