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Representative Fee Request
OMB 1215-0078
OMB.report
DOL/ESA
OMB 1215-0078
OMB 1215-0078
Latest Forms, Documents, and Supporting Material
Document
Name
Form ca-143 Representative Fee Request
Form and Instruction
OMB - Supporting Statement for 1215-0078 10-29-2009.doc
Supporting Statement A
THE PRIVACY ACT OF 1974.doc
Supplementary Document
Section 928 attorneys' fees.doc
Supplementary Document
Section 10.700 through 10.703.doc
Supplementary Document
20 CFR 702.132 Fee for Services.doc
Supplementary Document
Representative Fee Request
Form and Instruction
All Historical Document Collections
200908-1215-003
Approved without change
Extension without change of a currently approved collection
2009-11-17
200611-1215-001
Approved without change
Extension without change of a currently approved collection
2007-01-19
200312-1215-001
Approved without change
Extension without change of a currently approved collection
2003-12-17
200210-1215-002
Approved with change
Extension without change of a currently approved collection
2002-10-28
199910-1215-002
Approved without change
Revision of a currently approved collection
1999-10-29
199812-1215-003
Approved without change
Extension without change of a currently approved collection
1998-12-01
199511-1215-001
Approved without change
Extension without change of a currently approved collection
1995-11-05
199210-1215-003
Approved without change
Revision of a currently approved collection
1992-10-05
198908-1215-002
Approved without change
Revision of a currently approved collection
1989-08-14
198610-1215-004
Approved without change
Revision of a currently approved collection
1986-10-06
198501-1215-002
Approved without change
Reinstatement with change of a previously approved collection
1985-01-22
198309-1215-032
Approved with change
No material or nonsubstantive change to a currently approved collection
1983-09-06
198309-1215-011
Approved without change
Revision of a currently approved collection
1983-09-22
197808-1215-007
Approved without change
Revision of a currently approved collection
1978-08-17
197411-1215-001
Approved without change
New collection (Request for a new OMB Control Number)
1974-11-21
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