Rehabilitation Plan and Award

OMB 1240-0045

Form OWCP-16 is used by vocational rehabilitation counselors to submit an agreed upon rehabilitation plan to OWCP for approval, and documents OWCP's award of payment for any approved services.

The latest form for Rehabilitation Plan and Award expires 2021-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form OWCP-16 Rehablitation Plan and Award Form and Instruction
Rest of US pay scale 2023.pdf Supplementary Document
Privacy Act Systems DOL GOVT 1.docx Supplementary Document
Privacy Act System of Records -LONGSHORE DOL 3.docx Supplementary Document
Privacy Act Systems-Longshore.docx Supplementary Document
60-day FRN (1240-0045).published.pdf Supplementary Document
Longshore20 CFR 702.506 and 20 CFR 702.507.docx Supplementary Document
20 cfr 10.518 and 20 cfr. 10. 519.docx Supplementary Document
Supporting Statement 1240-0045_Final_20231109_MN2 . clean copy.docx Supporting Statement A
Rehablitation Plan and Award Form and Instruction

All Historical Document Collections

202311-1240-001 Approved without change	Extension without change of a currently approved collection	2023-12-08
202008-1240-056	Revision of a currently approved collection	2020-12-01
201706-1240-002 Approved without change	Revision of a currently approved collection	2017-10-30
201403-1240-003 Approved without change	Revision of a currently approved collection	2014-07-15
201011-1240-005 Approved without change	Extension without change of a currently approved collection	2011-05-20
201003-1240-045 Approved without change	Extension without change of a currently approved collection	2010-03-12