Information Collection Request

Rehabilitation Action Report

ICR 202403-1240-001 · OMB 1240-0008 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form OWCP-44 Rehabilitation Action Report Form and Instruction Modified Missing upstream
Changes to the OWCP-44_MN.clean version 3.13.24.docx Supplementary Document Uploaded 2024-03-13 Missing upstream
Longshore Privacy Act System of Records. OWCP-3.docx Supplementary Document Uploaded 2024-03-05 Missing upstream
Privacy Act System of Records DOL GOVT-1 2017.pdf Supplementary Document Uploaded 2024-03-04 Repair queued
Longshore Section 908 (g) and 939 (c) for 1240-0008x.docx Supplementary Document Uploaded 2024-03-01 Repair queued
Sections 8104 and 8111 for 1240-0008.docx Supplementary Document Uploaded 2024-03-01 Repair queued
60 day FRN . 1240-0008.pdf Supplementary Document Uploaded 2024-03-01 Missing upstream
Supporting Statement for 1240-0008 final_MN.clean version. 3.13.24.docx Supporting Statement A Uploaded 2024-03-13 Repair queued
DOL SORNs list.pdf Supplementary Document Uploaded 2021-02-17 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
13901 Rehabilitation Action Report Form and Instruction Modified

ICR Details

Record metadata
Received in OIRA
DOL/OWCP
1240-0008
Revision of a currently approved collection
202102-1240-006
1969-12-31
1969-12-31