Rehabilitation Action Report

Rehabilitation Action Report

OMB: 1215-0182

IC ID: 13901

Information Collection (IC) Details

View Information Collection (IC)

Rehabilitation Action Report
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form OWCP-44 Rehabilitation Action Report 1215-0182 (OWCP-44).pdf http://www.dol.gov/esa/regs/compliance/owcp/OWCP-44.pdf Yes Yes Fillable Fileable Signable

Health Health Care Services

DOL/GOVT-1 (FECA); DOL/ESA-15 (LHWCA)  67 FR 16826

7,000 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 7,000 0 0 0 0 7,000
Annual IC Time Burden (Hours) 1,169 0 0 0 0 1,169
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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