OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Medical Travel Refund Request

OMB 1215-0054 ยท DOL/ESA.

OMB 1215-0054

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form OWCP-957 Medical Travel Refund RequestForm and Instruction
SS 1215-0054 2006.docSupporting Statement A
DOL ESA-49 (EEOICPA).doc Supplementary Document
DOL ESA-6 (BLBA).doc Supplementary Document
DOL GOVT-1(FECA).doc Supplementary Document
Medical Travel Refund Request Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
200611-1215-009 Extension without change of a currently approved collection 2007-05-22 Approved without change
200506-1215-007 No material or nonsubstantive change to a currently approved collection 2005-06-29 Approved without change
200404-1215-004 Extension without change of a currently approved collection 2004-04-16 Approved without change
200304-1215-004 No material or nonsubstantive change to a currently approved collection 2003-04-09 Approved without change
200203-1215-006 No material or nonsubstantive change to a currently approved collection 2002-03-21 Approved without change
200108-1215-002 No material or nonsubstantive change to a currently approved collection 2001-08-03 Approved without change
200105-1215-001 Extension without change of a currently approved collection 2001-05-25 Approved without change
199807-1215-006 Extension without change of a currently approved collection 1998-07-31 Approved without change
199506-1215-002 Extension without change of a currently approved collection 1995-06-21 Approved without change
199206-1215-002 Revision of a currently approved collection 1992-06-11 Approved without change
198906-1215-002 Revision of a currently approved collection 1989-06-14 Approved without change
198607-1215-002 Revision of a currently approved collection 1986-07-15 Approved without change
198309-1215-005 Revision of a currently approved collection 1983-09-22 Approved without change
198206-1215-015 No material or nonsubstantive change to a currently approved collection 1982-06-30 Approved with change
197808-1215-013 Revision of a currently approved collection 1978-08-17 Approved without change
197410-1215-003 Revision of a currently approved collection 1974-10-04 Approved without change