Rehabilitation Action Report

ICR 202008-1240-062

OMB: 1240-0008

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Justification for No Material/Nonsubstantive Change
2020-09-02
Supplementary Document
2017-09-13
Supplementary Document
2017-09-13
Supplementary Document
2017-09-13
Supplementary Document
2017-09-13
Supplementary Document
2017-09-13
Supporting Statement A
2020-08-26
IC Document Collections
IC ID
Document
Title
Status
13901 Modified
ICR Details
1240-0008 202008-1240-062
Received in OIRA 201709-1240-001
DOL/OWCP
Rehabilitation Action Report
No material or nonsubstantive change to a currently approved collection   No
Regular 12/15/2020
  Requested Previously Approved
02/28/2021 02/28/2021
4,066 4,066
678 678
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 8111 Name of Law: FECA
   US Code: 33 USC 908 Name of Law: LHWCA
   US Code: 33 USC 939 Name of Law: LHWCA
   US Code: 5 USC 8104 Name of Law: FECA
  
None

Not associated with rulemaking

  82 FR 48533 10/18/2017
82 FR 203 12/31/2017
No

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

  Total Request 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 4,066 4,066 0 0 0 0
Annual Time Burden (Hours) 678 678 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$91,648
No
    Yes
    Yes
No
No
No
No
Marcus Sharpless 202 693-0998 [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.
12/15/2020


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