Document

Public Comments

ICR 202511-1240-002 · OMB 1240-0006 · Object 164245700.

Document Viewer [html]

Status: The document is viewable through fallback artifacts while conversion repair continues in the background.

Queue: A repair attempt failed. The document remains flagged for retry and verification. (priority 100 · attempts 4 · next 2026-05-11 06:41:44)

Missing: pdf

Download: Source copy (html)

Primary: htmlSource: text/html
Loading document viewer…
Document Metadata
File Typetext/html
File TitlePublic Comments
Conversion Statefailed_conversion
Extracted Text
PUBLIC SUBMISSION
As of: 9/29/25, 2:06 PM 
Received: September 20, 2025 
Status: Pending_Post 
Tracking No. mfs-mzmi-zpy4 
Comments Due: November 10, 2025 
Submission Type: Web
Docket: WCPO-2025-0039 
Claim for Reimbursement of Benefit Payments and Claims Expense under the War Hazards Compensation Act (WHCA) 
Comment On: WCPO-2025-0039-0001 
Agency Information Collection Activities; Proposals, Submissions, and Approvals: Claim for Reimbursement of Benefit Payments and Claims Expense under the War Hazards Compensation Act 
Document: WCPO-2025-0039-DRAFT-0003 
Comment from Singleton, Jessica 

Submitter Information
Name: Jessica Singleton 
Address: 
Hattiesburg,  MS,  39401
Email: [email protected] 
Phone: 7692807679 

General Comment
I would've Ike to file for the a claim for reimbursement of benefit payments & claims expense under the war hazards act