Feca Medical Report Forms

FECA MEDICAL REPORT FORMS

OMB: 1215-0103

IC ID: 168479

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

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FECA MEDICAL REPORT FORMS
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CA-16, 17 No No
Form 20, 28A, 28B No No
Form 1090, 1302 No No
Form 1303, 1304 No No
Form 1306, 1308 No No
Form 1316, 1331 No No
Form OWCP No No


    

480,350 0
   
Private Sector Businesses or other for-profits
 
   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 480,350 0 0 0 0 480,350
Annual IC Time Burden (Hours) 216,700 0 0 0 0 216,700
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.

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