Rehabilitation Action Report

ICR 201003-1240-008

OMB: 1240-0008

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supporting Statement A
2008-05-08
Supplementary Document
2008-02-11
Supplementary Document
2008-02-11
Supplementary Document
2008-02-11
Supplementary Document
2008-02-11
IC Document Collections
IC ID
Document
Title
Status
13901 Modified
ICR Details
1240-0008 201003-1240-008
Historical Active 200506-1215-002
DOL/OWCP
Rehabilitation Action Report
Extension without change of a currently approved collection   No
Regular
Approved without change 03/12/2010
Retrieve Notice of Action (NOA) 03/12/2010
  Inventory as of this Action Requested Previously Approved
07/31/2011 36 Months From Approved
7,000 0 7,000
1,169 0 1,169
0 0 0

The OWCP-44 is the form used to report the status of a rehabilitation case, submitted by the contractor vocational rehabilitation counselor during an ongoing vocational rehabilitation effort, and to request prompt adjudicatory claims action based on events arising during that effort.

US Code: 5 USC 8104 Name of Law: FECA
   US Code: 5 USC 8111 Name of Law: FECA
   US Code: 33 USC 908 Name of Law: LHWCA
   US Code: 33 USC 939 Name of Law: LHWCA
  
None

Not associated with rulemaking

  73 FR 9358 02/20/2008
73 FR 30975 05/29/2008
No

1
IC Title Form No. Form Name
Rehabilitation Action Report OWCP-44 Rehabilitation Action Report

  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 7,000 7,000 0 0 0 0
Annual Time Burden (Hours) 1,169 1,169 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$128,560
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Shirley Jarman 202 693-5786 [email protected]

  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.
05/29/2008


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