View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 1121-0024	ICR Reference No: 200310-1121-005
Status: Historical Active	Previous ICR Reference No: 200109-1121-004
Agency/Subagency: DOJ/OJP	Agency Tracking No:
Title: Claim for Death Benefits
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR: No
Type of Review Request: Emergency	Approval Requested By: 10/30/2003
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/17/2003
	Date Received in OIRA: 10/17/2003
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2004	04/30/2004
Responses	320	0	0
Time Burden (Hours)	480	0	0
Cost Burden (Dollars)	3,200,000	0	0

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.