OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Request for State or Federal Workers' Compensation Information

OMB 1215-0060 ยท DOL/ESA.

OMB 1215-0060

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form CM-905 Request for State or Federal Workers' Compensation InformationForm
CM-905.doc Supplementary Document
725 535.pdf Supplementary Document
30 USC 924.pdf Supplementary Document
DOL Privacy Act systems ESA-30.pdf Supplementary Document
SS for 1215-0060 (CM-905) March 2007.docSupporting Statement A
Request for State or Federal Workers' Compensation Information Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
200704-1215-001 Extension without change of a currently approved collection 2007-07-19 Approved without change
200407-1215-002 Extension without change of a currently approved collection 2004-07-16 Approved without change
200108-1215-001 Extension without change of a currently approved collection 2001-08-16 Approved without change
199807-1215-010 Extension without change of a currently approved collection 1998-07-31 Approved without change
199506-1215-004 Extension without change of a currently approved collection 1995-06-21 Approved without change
199207-1215-002 Revision of a currently approved collection 1992-07-20 Approved without change
198911-1215-004 No material or nonsubstantive change to a currently approved collection 1989-11-06 Approved with change
198907-1215-002 Revision of a currently approved collection 1989-07-26 Approved without change
198608-1215-001 Extension without change of a currently approved collection 1986-08-29 Approved without change
198309-1215-004 Revision of a currently approved collection 1983-09-22 Approved without change
198206-1215-008 No material or nonsubstantive change to a currently approved collection 1982-06-30 Approved with change
197808-1215-012 Revision of a currently approved collection 1978-08-17 Approved without change
197410-1215-002 New collection (Request for a new OMB Control Number) 1974-10-10 Approved without change