OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Application of the Employee Polygraph Protection Act

OMB 1215-0170 · DOL/ESA.

OMB 1215-0170

Latest Forms, Documents, and Supporting Material

Document Name
Form WH-1481 Notice to Examinee Applicable to Certain Ongoing Investigations, Security Services, and Security of Controlled Substances Form
1215-0170ss(20080701).doc Supporting Statement A
Test Results Written Report and Test Record Maintenance--Polygrapher
Notice of Test Results
Notice to Polygraph Examiner Identifying Persons to be Examined--Maintenance of Records Provided by Polygrapher
Notice to Examinee--Ongoing Investigations of Employer's Economic Loss or Injury
Notice to Examinee Applicable to Certain Ongoing Investigations, Security Services, and Security of Controlled Substances Form

All Historical Document Collections

200802-1215-004 Approved without change	Extension without change of a currently approved collection	2008-07-30
200508-1215-001 Approved without change	Extension without change of a currently approved collection	2005-08-08
200208-1215-003 Approved without change	Extension without change of a currently approved collection	2002-08-30
199908-1215-001 Approved without change	Extension without change of a currently approved collection	1999-08-10
199608-1215-003 Approved without change	Revision of a currently approved collection	1996-08-26
199309-1215-003 Approved without change	Revision of a currently approved collection	1993-09-20
199101-1215-001 Approved without change	Revision of a currently approved collection	1991-01-16
198901-1215-006 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-01-19
198901-1215-005 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-01-18
198810-1215-003 Approved without change	New collection (Request for a new OMB Control Number)	1988-10-26