Work Injury Report

OMB 1220-0047

OMB 1220-0047

Latest Forms, Documents, and Supporting Material

Document Name
WORK INJURY REPORT Form

All Historical Document Collections

198709-1220-002 Approved without change	Revision of a currently approved collection	1987-09-28
198612-1220-002 Approved without change	Reinstatement with change of a previously approved collection	1986-12-03
198304-1220-004 Approved without change	Reinstatement with change of a previously approved collection	1983-04-28
198205-1220-003 Approved without change	Extension without change of a currently approved collection	1982-05-14
198109-1220-001 Approved without change	Extension without change of a currently approved collection	1981-09-10
197809-1220-001 Approved without change	Extension without change of a currently approved collection	1978-09-21
197709-1220-001 Approved without change	New collection (Request for a new OMB Control Number)	1977-09-12

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