Employer's Report Of Injury Or Occupational Illness Physicians Report On Impairment Of Vision

EMPLOYER'S REPORT OF INJURY OR OCCUPATIONAL ILLNESS PHYSICIANS REPORT ON IMPAIRMENT OF VISION

OMB: 1215-0031

IC ID: 121876

Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details

View Information Collection (IC)

EMPLOYER'S REPORT OF INJURY OR OCCUPATIONAL ILLNESS PHYSICIANS REPORT ON IMPAIRMENT OF VISION
 
No Migrated
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 20 CFR No No
Form 702.202 No No
Form 407, LS-202 No No
Form 202A, 202B No No
Form 205 & 210 No No


    

1 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 200,820 0 0 -58,484 0 259,304
Annual IC Time Burden (Hours) 39,156 0 0 -52,987 0 92,143
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

© 2024 OMB.report | Privacy Policy