Information Collection

Rehabilitation Action Report

IC 13901 under ICR 202403-1240-001 · OMB 1240-0008.

Documents and Forms

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

IC Title:

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 and Instruction	OWCP-44	Rehabilitation Action REport	owcp-44 with changes.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: 89 FR 482

Number of Respondents: 6,136

Number of Respondents for Small Entity: 6,136

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	6,136	2,837	3,299
Annual IC Time Burden (Hours)	1,043	493	550
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.