OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Provider Enrollment Form

OMB 1215-0137 ยท DOL/ESA.

OMB 1215-0137

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form OWCP-1168 Provider Enrollment FormForm
SS 1215-0137 SS 9-24-2009 final[1][1].docSupporting Statement A
Provider Enrollment Form Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
200906-1215-001 Extension without change of a currently approved collection 2009-10-06 Approved without change
200610-1215-005 Extension without change of a currently approved collection 2006-11-08 Approved without change
200506-1215-005 No material or nonsubstantive change to a currently approved collection 2005-06-29 Approved without change
200312-1215-004 Extension without change of a currently approved collection 2003-12-17 Approved without change
200301-1215-005 Revision of a currently approved collection 2003-01-16 Approved without change
200112-1215-004 Revision of a currently approved collection 2001-12-19 Approved without change
200107-1215-005 No material or nonsubstantive change to a currently approved collection 2001-07-06 Approved without change
199812-1215-002 Extension without change of a currently approved collection 1998-12-01 Approved without change
199512-1215-002 Extension without change of a currently approved collection 1995-12-07 Approved without change
199212-1215-001 Revision of a currently approved collection 1992-12-28 Approved without change
198912-1215-002 Revision of a currently approved collection 1989-12-18 Approved without change
198704-1215-003 Reinstatement with change of a previously approved collection 1987-04-09 Approved without change
198404-1215-001 Revision of a currently approved collection 1984-04-05 Approved without change
198309-1215-039 No material or nonsubstantive change to a currently approved collection 1983-09-06 Approved with change
198205-1215-002 New collection (Request for a new OMB Control Number) 1982-05-28 Approved without change