Agency Information Collection Activities; Comment Request; Claim for Medical Reimbursement Form

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The Department of Labor (DOL) is soliciting comments concerning a proposed extension for the authority to conduct the information collection request (ICR) titled, "Claim for Medical Reimbursement Form." This comment request is part of continuing Departmental efforts to reduce paperwork and respondent burden in accordance with the Paperwork Reduction Act of 1995 (PRA).