OMB control number
Rehabilitation Plan and Award
OMB 1240-0045 ยท DOL/OWCP.
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 2027-01-31 and is listed under ICR 202311-1240-001.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 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All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202311-1240-001 | Extension without change of a currently approved collection | 2023-12-08 | Approved without change | |
| 202008-1240-056 | Revision of a currently approved collection | 2020-12-01 | ||
| 201706-1240-002 | Revision of a currently approved collection | 2017-10-30 | Approved without change | |
| 201403-1240-003 | Revision of a currently approved collection | 2014-07-15 | Approved without change | |
| 201011-1240-005 | Extension without change of a currently approved collection | 2011-05-20 | Approved without change | |
| 201003-1240-045 | Extension without change of a currently approved collection | 2010-03-12 | Approved without change |