OWCP REPRESENTATIVE FEE REQUEST (FECA) CA-38, (LS) 20CFR 702.132

ICR 198908-1215-002

OMB: 1215-0078

Federal Form Document

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Document
Name
Status
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IC Document Collections
ICR Details
1215-0078 198908-1215-002
Historical Active 198610-1215-004
DOL/ESA
OWCP REPRESENTATIVE FEE REQUEST (FECA) CA-38, (LS) 20CFR 702.132
Revision of a currently approved collection   No
Regular
Approved without change 11/01/1989
Retrieve Notice of Action (NOA) 08/14/1989
  Inventory as of this Action Requested Previously Approved
11/30/1992 11/30/1992 09/30/1989
11,000 0 15,600
10,000 0 10,672
0 0 0

REQUESTS FOR APPROVAL OF A FEE FOR SERVICES PROVIDED OWCP CLAIMANT BENEFICIARIES SUBMITTED BY ATTORNEY/REPRESENTATIVE.

None
None


No

1
IC Title Form No. Form Name
OWCP REPRESENTATIVE FEE REQUEST (FECA) CA-38, (LS) 20CFR 702.132 CA-38 (FEC)

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 11,000 15,600 0 0 -4,600 0
Annual Time Burden (Hours) 10,000 10,672 0 0 -672 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
08/14/1989


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