Rehabilitation Maintenance Certificate

Rehabilitation Maintenance Certificate

OMB: 1240-0012

IC ID: 43809

Information Collection (IC) Details

View Information Collection (IC)

Rehabilitation Maintenance Certificate
 
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-17 Rehabilitation Maintenance Certificate OWCP-17.pdf http://www.dol.gov/esa/owcp/dfec/regs/compliance/OWCP-17.pdf Yes No Fillable Printable

Workforce Management Training and Employment

 

603 0
   
Individuals or Households
 
   5 %

  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 5,022 0 0 -10,578 0 15,600
Annual IC Time Burden (Hours) 837 0 0 -1,768 0 2,605
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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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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