OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Claim for Reimbursement-Assisted Reemployment

OMB 1240-0018 ยท DOL/OWCP.

OMB 1240-0018

To aid in the employment of Federal employees with disabilities related to an on-the-job injury, employers submit OWCP Form CA-2231 to claim reimbursement for wages paid under the assisted reemployment project. This information allows for a prompt decision on payment.

The latest form for Claim for Reimbursement-Assisted Reemployment expires 2029-01-31 and is listed under ICR 202507-1240-002.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form CA-2231 Claim for Reimbursement Assisted ReemploymentForm
Form CA-2231 Claim for Reimbursement-Assisted ReemploymentForm
1240-0018 Claim for Reimbursement - Assisted Reemployment (CA-2231)_Supporting Statement 1 5 2026.docxSupporting Statement A
1240-0018 Claim for Reimbursement - Assisted Reemployment (CA-2231)_Supporting Statement_Clean.docxSupporting Statement A
Pub Law -117-103.pdfSupplementary Document
Pub Law -117-103.pdf Supplementary Document
5 U.S.C. 8111.docxSupplementary Document
DOL GOVT-1.docxSupplementary Document
DOL GOVT-1.docx Supplementary Document
5 U.S.C. 8104a vocational rehabilitation.docxSupplementary Document
OPM Salary Table. RUS.pdfSupplementary Document
BLS hourly wage for payroll and timekeeping clerks.pdfSupplementary Document
Claim for Reimbursement-Assisted Reemployment Form
Claim for Reimbursement-Assisted Reemployment Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202507-1240-002 Extension without change of a currently approved collection 2025-09-26
202209-1240-001 Extension without change of a currently approved collection 2022-10-13 Approved without change
201904-1240-001 Extension without change of a currently approved collection 2019-09-25 Approved without change
201602-1240-007 Revision of a currently approved collection 2016-07-21 Approved without change
201301-1240-001 Revision of a currently approved collection 2013-06-04 Approved without change
201005-1240-001 Revision of a currently approved collection 2010-05-28 Approved without change
201003-1240-018 Extension without change of a currently approved collection 2007-03-28 Approved without change