Energy Employees Occupational Illness Compensation Program Act Forms

ICR 202603-1240-001

OMB: 1240-0002

Federal Form Document

IC Document Collections

IC ID	Document Title	Status
251537	EE - 7A - Report of Occupational Illness (Part B)/Report of Covered Illness (Part E)	Unchanged
251536	EE -5B - Supplemental Employment Evidence - DOE Contractors	Unchanged
251535	EE 5A - Supplemental Employment Evidence	Unchanged
178684	EEOICP Forms for State Governments Form	Unchanged
178683	EEOICP Forms for Private Sector Form	Unchanged
13934	EEOICP Forms for Individuals or Households Form and Instruction	Modified