Uniform Billing Form

ICR 202501-1240-003

Forms and Documents

Document Name	Status
Form OWCP-04 Uniform Billing Form (OWCP-04) Form and Instruction	Modified
ICR 1240-0019 - Supporting Statement_20250328.docx Supporting Statement A	2025-03-28
20 CFR 725.405, 406, 701 and 705 BLBA Supporting Reg.pdf Supplementary Document	2012-11-05
20 CFR 30.701 EEOICPA Supporting Reg.pdf Supplementary Document	2012-11-05
20 CFR 10.801 FECA - Supporting Reg.pdf Supplementary Document	2012-11-05

IC Document Collections

IC ID	Document Title	Status
38466	Uniform Billing Form (OWCP-04) Form and Instruction	Modified

ICR Details