OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

FECA Medical Report Forms, Claim for Compensation

OMB 1215-0103 ยท DOL/ESA.

OMB 1215-0103

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form ca-17 FECA Medical Report Forms, Claim for CompensationForm and Instruction
1215-0103 OMB Form 83-12.doc Supplementary Document
Supporting Statement for 1215-0103 (Various CA Forms) July 15 2008.docSupporting Statement A
THE PRIVACY ACT OF 1974.doc Supplementary Document
DOL_GOVT-1.doc Supplementary Document
Compensation Act.doc Supplementary Document
FECA Medical Report Forms, Claim for Compensation Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
200803-1215-005 Extension without change of a currently approved collection 2008-08-07 Approved without change
200507-1215-001 Extension without change of a currently approved collection 2005-07-01 Approved without change
200501-1215-002 No material or nonsubstantive change to a currently approved collection 2005-01-10 Approved without change
200303-1215-001 No material or nonsubstantive change to a currently approved collection 2003-03-05 Approved without change
200207-1215-001 Revision of a currently approved collection 2002-07-03 Approved without change
199908-1215-002 Extension without change of a currently approved collection 1999-08-18 Approved without change
199807-1215-005 Revision of a currently approved collection 1998-07-28 Approved without change
199608-1215-001 Revision of a currently approved collection 1996-08-05 Approved without change
199509-1215-002 Revision of a currently approved collection 1995-09-19 Approved without change
199306-1215-004 Revision of a currently approved collection 1993-06-29 Approved without change
199107-1215-004 Revision of a currently approved collection 1991-07-25 Approved without change
198807-1215-003 Revision of a currently approved collection 1988-07-21 Approved without change
198511-1215-001 Revision of a currently approved collection 1985-11-22 Approved without change
198503-1215-004 No material or nonsubstantive change to a currently approved collection 1985-03-25 Approved with change
198402-1215-004 Extension without change of a currently approved collection 1984-02-22 Approved without change
198309-1215-007 Revision of a currently approved collection 1983-09-26 Approved without change
198211-1215-003 Revision of a currently approved collection 1982-11-10 Approved without change
198206-1215-003 No material or nonsubstantive change to a currently approved collection 1982-06-30 Approved with change
198012-1215-006 New collection (Request for a new OMB Control Number) 1980-12-08 Approved without change