OMB control number

Request for Examination and/or Treatment

OMB 1215-0066 ยท DOL/ESA.

OMB 1215-0066

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form LS-1 Request for Examination and/or TreatmentForm
OMB - Supporting Statement for 1215-0066 (LS-1) December 2007.docSupporting Statement A
33 USC, Chapter 18 Section 907.doc Supplementary Document
DOL-ESA-15.pdf Supplementary Document
20CFR702.419.pdf Supplementary Document
Request for Examination and/or Treatment Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
200801-1215-001 Extension without change of a currently approved collection 2008-04-25 Approved without change
200505-1215-002 Extension without change of a currently approved collection 2005-05-27 Approved without change
200209-1215-003 Extension without change of a currently approved collection 2002-09-19 Approved without change
199909-1215-001 Extension without change of a currently approved collection 1999-09-23 Approved without change
199610-1215-001 Extension without change of a currently approved collection 1996-10-16 Approved without change
199309-1215-004 Extension without change of a currently approved collection 1993-09-22 Approved without change
199010-1215-001 Extension without change of a currently approved collection 1990-10-11 Approved without change
198910-1215-001 Extension without change of a currently approved collection 1989-10-11 Approved without change
198904-1215-017 No material or nonsubstantive change to a currently approved collection 1989-04-18 Approved with change
198610-1215-007 Revision of a currently approved collection 1986-10-10 Approved without change
198311-1215-001 Revision of a currently approved collection 1983-11-04 Approved without change
198309-1215-029 No material or nonsubstantive change to a currently approved collection 1983-09-06 Approved with change
197811-1215-004 Extension without change of a currently approved collection 1978-11-29 Approved without change
197312-1215-002 No material or nonsubstantive change to a currently approved collection 1973-12-06 Approved with change