Information Collection

Rehabilitation Action Report

IC 13901 under ICR 202102-1240-006 · OMB 1240-0008.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1240-0008 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OWCP-44 Rehabilitation Action Report	Form
OWCP-44 Rehabilitation Action Report OWCP-44_working.pdf www.dol.gov/owcp/dfec/regs/compliance/owcp-44.pdf	Form
OWCP-44 Rehabilitation Action Report OWCP-44_working.pdf www.dol.gov/owcp/dfec/regs/compliance/owcp-44.pdf	Form

IC Title:

Rehabilitation Action Report

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	OWCP-44	Rehabilitation Action Report	OWCP-44_working.pdf	http://www.dol.gov/owcp/dfec/regs/compliance/owcp-44.pdf	Yes	Yes	Fillable Printable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title: DOL/GOVT-1 (FECA); DOL/OWCP-15 (LHWCA)

FR Citation: 81 FR 25776

Number of Respondents: 3,299

Number of Respondents for Small Entity: 3,299

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,299	-767	4,066
Annual IC Time Burden (Hours)	550	-128	678
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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