Information Collection Request
Division of Energy Employees Occupational Illnesses Compensation (DEEOIC) Authorization Request Forms
ICR 202404-1240-008 · OMB 1240-0060 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1240-0060 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form EE-32 EE-32 (Home Health Care Authorization Request) |
Form and Instruction | Modified | Repair queued |
| Form EE-30 EE-30 (Transplant Authorization Request) |
Form and Instruction | Modified | Repair queued |
| Form EE-28 EE-28 (Transportation Authorization Request) |
Form and Instruction | Modified | Repair queued |
| Form EE-26 EE-26 (Rehabilitative Therapies Authorization Request) |
Form and Instruction | Modified | Repair queued |
| Form EE-24 EE-24 (Durable Medical Equipment Authorization) |
Form and Instruction | Modified | Repair queued |
| Form EE-22 EE-22 (General Medical Authorization Request) |
Form and Instruction | Modified | Repair queued |
 Supporting Statement 1240-0060_Renewal_2024_FINAL_05 2024.docx |
Supporting Statement A | Uploaded 2024-05-22 | Repair queued |
 20 CFR Part 30.pdf |
Supplementary Document | Uploaded 2020-09-24 | Repair queued |
| 42 USC 7384 et seq.pdf |
Supplementary Document | Uploaded 2020-09-24 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 243779 |  EE-32 (Home Health Care Authorization Request) |
Form and Instruction | Modified | |
| 243778 | EE-30 (Transplant Authorization Request) |
Form and Instruction | Modified | |
| 243777 | EE-28 (Transportation Authorization Request) |
Form and Instruction | Modified | |
| 243776 | EE-26 (Rehabilitative Therapies Authorization Request) |
Form and Instruction | Modified | |
| 243775 | EE-24 (Durable Medical Equipment Authorization) |
Form and Instruction | Modified | |
| 243774 | EE-22 (General Medical Authorization Request) |
Form and Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | DOL/OWCP |
| OMB Control No | 1240-0060 |
| Type of Information Collection | Extension without change of a currently approved collection |
| Previous ICR Reference No | 202211-1240-001 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |