ICR Documents

Document Date Uploaded
05/08/2025

Document Date Uploaded

Title Document Document Type Date Uploaded
Supporting Regulations Supplementary Document 06/11/2013
Employment Verification Sheet (EE-5) Supplementary Document 09/16/2021
Supporting Regulatory and Statutory Provisions Supplementary Document 09/16/2021
Form EE-1: Worker’s Claim for Benefits Under the Energy Employees Occupational Illness Compensation Program Act Supplementary Document 03/12/2026
Survivor’s Claim for Benefits Under the Energy Employees Occupational Illness Compensation Program Act (EE-2) Supplementary Document 03/12/2026
1240-0002 Justification for Nonsubstantive Change for EE-1 and EE-2 Justification for No Material/Nonsubstantive Change 03/12/2026

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