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Form 83-C was submitted to OMB on July 11, 2006 requesting approval for the Spanish-language versions of approved Forms EE-1, EE-2, EE-3, EE-4, and EE-7 for use in this information collection. The inclusion of these forms will not increase the previously approved burden hours. These forms are required to determine a claimant's eligibility for compensation under the EEOICPA, and are required to enable eligible claimants to receive benefits. The Spanish versions of the forms listed above will be available for electronic submission once approval for use is received from OMB. |
Form #:
EE- 1
English
Agency:
Department of Labor
Bureau:
Employment Standards Administration
Common Name:
Energy Employees Occupational Illness Compensation Program Act Forms (Various)
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