OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Notice of Law Enforcement Officer's Injury or Occupational Disease (CA-721); Notice of Law Enforcement Officer's Death (CA-722)

OMB 1215-0116 ยท DOL/ESA.

OMB 1215-0116

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form CA-721 Notice of Law Enforcement Officer's Injury or Occupational Disease (CA-721); Notice of Law Enforcement Officer's Death (CA-722)Form and Instruction
Sections 10 .735 to 10.741 Non-Federal Law Enforcement Officers.doc Supplementary Document
THE PRIVACY ACT OF 1974.doc Supplementary Document
LAW 8191.doc Supplementary Document
DOL GOVT-1.pdf Supplementary Document
SS for 1215-0116 (CA-721 and 722) February 2007.docSupporting Statement A
Notice of Law Enforcement Officer's Injury or Occupational Disease (CA-721); Notice of Law Enforcement Officer's Death (CA-722) Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
200701-1215-009 Extension without change of a currently approved collection 2007-06-14 Approved without change
200406-1215-003 Extension without change of a currently approved collection 2004-06-15 Approved without change
200107-1215-002 Extension without change of a currently approved collection 2001-07-09 Approved without change
199807-1215-004 Extension without change of a currently approved collection 1998-07-28 Approved without change
199506-1215-006 Extension without change of a currently approved collection 1995-06-21 Approved without change
199205-1215-001 Revision of a currently approved collection 1992-05-11 Approved without change
198905-1215-001 Extension without change of a currently approved collection 1989-05-11 Approved without change
198605-1215-010 Extension without change of a currently approved collection 1986-05-30 Approved without change
198312-1215-001 Extension without change of a currently approved collection 1983-12-29 Approved without change
198110-1215-002 New collection (Request for a new OMB Control Number) 1981-10-20 Approved without change