Information Collection

Actuarial Attestation Regarding War Risk Hazard Provisions in Defense Base Act Premiums

IC 279219 under ICR 202602-1240-001 · OMB unassigned.

Documents and Forms

Document Name Document Type
Form WH2 Actuarial Attestation Regarding War Risk Hazard Provisions in Defense Base Act Premiums Actuarial Attestation Regarding War Risk Hazard Provisions in Defense Base Act Premiums Form and Instruction
WH2 Actuarial Attestation Regarding War Risk Hazard Provisio WH-2.pdf www.dol.gov/agencies/owcp/FECA/regs/compliance/forms Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Actuarial Attestation Regarding War Risk Hazard Provisions in Defense Base Act Premiums	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 20 CFR §61.100 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	WH2	Actuarial Attestation Regarding War Risk Hazard Provisions in Defense Base Act Premiums	WH-2.pdf	https://www.dol.gov/agencies/owcp/FECA/regs/compliance/forms	No		Fillable Printable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 12	Number of Respondents for Small Entity: 1

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	12	12
Annual IC Time Burden (Hours)	12	12
Annual IC Cost Burden (Dollars)	12	12

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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