OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

FECA Medical Report Forms, Claim for Compensation

OMB 1215-0103 · DOL/ESA.

OMB 1215-0103
Latest Forms, Documents, and Supporting Material
Document
Name
Form and Instruction
Supplementary Document
Supporting Statement A
Supplementary Document
Supplementary Document
Supplementary Document
All Historical Document Collections
Approved without change
 Extension without change of a currently approved collection 2008-08-07
Approved without change
 Extension without change of a currently approved collection 2005-07-01
Approved without change
 No material or nonsubstantive change to a currently approved collection 2005-01-10
Approved without change
 No material or nonsubstantive change to a currently approved collection 2003-03-05
Approved without change
 Revision of a currently approved collection 2002-07-03
Approved without change
 Extension without change of a currently approved collection 1999-08-18
Approved without change
 Revision of a currently approved collection 1998-07-28
Approved without change
 Revision of a currently approved collection 1996-08-05
Approved without change
 Revision of a currently approved collection 1995-09-19
Approved without change
 Revision of a currently approved collection 1993-06-29
Approved without change
 Revision of a currently approved collection 1991-07-25
Approved without change
 Revision of a currently approved collection 1988-07-21
Approved without change
 Revision of a currently approved collection 1985-11-22
Approved with change
 No material or nonsubstantive change to a currently approved collection 1985-03-25
Approved without change
 Extension without change of a currently approved collection 1984-02-22
Approved without change
 Revision of a currently approved collection 1983-09-26
Approved without change
 Revision of a currently approved collection 1982-11-10
Approved with change
 No material or nonsubstantive change to a currently approved collection 1982-06-30
Approved without change
 New collection (Request for a new OMB Control Number) 1980-12-08