Information Collection

Rehabilitation Maintenance Certificate

IC 122334 under ICR 199208-1215-001 · OMB 1215-0161.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1215-0161 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	REHABILITATION MAINTENANCE CERTIFICATE	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	OWCP-17				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,100	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	13,200	1,800	11,400
Annual IC Time Burden (Hours)	2,204	300	1,904
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

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