Request for State or Federal Workers' Compensation Information

OMB 1215-0060

OMB 1215-0060

Latest Forms, Documents, and Supporting Material

Document Name
Form CM-905 Request for State or Federal Workers' Compensation Information Form
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.doc Supporting Statement A
Request for State or Federal Workers' Compensation Information Form

All Historical Document Collections

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

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