Claim for Reimbursement of Benefit Payments and Claims Expense Under the War Hazards Compensation Act

ICR 202303-1240-003

OMB: 1240-0006

Federal Form Document

Forms and Documents

Document Name	Status
Form CA-278 Claim for Reimbursement of Benefit Payments and Claims Expense Under the War Hazards Compensation Act Form and Instruction	Modified
General Schedule.mhtml Supplementary Document	2023-03-30
81 Fed. Reg. 47418 (July 21, 2016).pdf Supplementary Document	2023-03-30
Supporting Statement 1240-0006_2023.docx Supporting Statement A	2023-04-25
5 usc 8147 2023.docx Supplementary Document	2023-04-04
20 cfr 61.104.docx Supplementary Document	2023-04-04
20 cfr 61.101.docx Supplementary Document	2023-04-04

IC Document Collections

IC ID	Document Title	Status
13940	Claim for Reimbursement of Benefit Payments and Claims Expense Under the War Hazards Compensation Act Form and Instruction	Modified