FECA Medical Report Forms

FECA Medical Report Forms

OMB: 1215-0103

IC ID: 13768

Documents and Forms
Document Name
Document Type
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
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CA-16-17 No No
Form CA-1305-1306 No No
Form CA-1336 No No
Form CA-1331-1332 No No
Form CA-20 No No
Form CA-1316 No No
Form CA-7 No No
Form CA-1090 No No
Form CA-1303 No No
Form CA-1314 No No


    

302,628 0
   
Federal Government
 
   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 302,628 0 0 -139,227 0 441,855
Annual IC Time Burden (Hours) 30,766 0 0 -12,648 0 43,414
Annual IC Cost Burden (Dollars) 109,000 0 0 -45,000 0 154,000

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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