OMB-83C JUSTIFICATION – 1215-0055
OWCP is requesting the approval for use of the revised OWCP-1500 to accommodate the addition of the data elements for the National Provider Identifier (NPI) and taxonomy number that weren’t on the approved draft of the Form OWCP-1500 dated April 2006 that was approved on 10/2/06 with an expiration date of 10/31/09. This change is to accommodate the reporting of the provider’s NPI and taxonomy number under items 32a and 33b. This insignificant change does not effect the current burden hours.
| File Type | application/msword |
| File Title | OMB-83C JUSTIFICATION – 1215-0055 |
| Author | US Department of Labor |
| Last Modified By | US Department of Labor |
| File Modified | 2006-10-30 |
| File Created | 2006-10-30 |