OMB control number
Application for Continuation of Death Benefit for Student
OMB 1240-0026 · DOL/OWCP.
OMB 1240-0026
Form LS-266 is used as an application for continuation of death benefits for a dependent who is a student.
The latest form for Application for Continuation of Death Benefit for Student expires 2026-11-30 and can be found here.
Latest Forms, Documents, and Supporting Material
Document Name |
|---|
Form and Instruction |
Supporting Statement A |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Form LS-266 Application for Continuation of Death Benefit for Student
Supporting Statement for 1240-0026 --10-31-2023_MNclean.docx
33 USC 939 (a).doc
Application for Continuation of Death Benefit for Student All Historical Document Collections
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Approved without change |
Revision of a currently approved collection | 2023-10-17 | |
| No material or nonsubstantive change to a currently approved collection | 2020-12-15 | ||
|
Approved without change |
Revision of a currently approved collection | 2020-05-27 | |
|
Approved without change |
Extension without change of a currently approved collection | 2017-03-02 | |
|
Approved without change |
Revision of a currently approved collection | 2015-06-05 | |
|
Preapproved |
No material or nonsubstantive change to a currently approved collection | 2015-03-12 | |
|
Approved without change |
No material or nonsubstantive change to a currently approved collection | 2014-09-30 | |
|
Approved without change |
Extension without change of a currently approved collection | 2014-02-21 | |
|
Approved without change |
Extension without change of a currently approved collection | 2011-01-25 | |
|
Approved with change |
Extension without change of a currently approved collection | 2010-03-12 |