Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Death Gratuity Beneficiary Designation Modified 1 0 0 Form and Instruction CA-40
Death Gratuity Claim for Survivor Benefits Modified 3 1 0 Form and Instruction CA-41
Death Gratuity Official Notice of Employees' Death Modified 3 1 0 Form and Instruction CA-42
Total burden requested under this ICR: 7 2 0  
To view an IC, click on IC Title