OMB control number
Request for Employment Information
OMB 1240-0047 ยท DOL/OWCP.
OMB 1240-0047
This information collection is used to collect information about a claimant's employment. It is necessary to determine continued eligibility for compensation payments under the Federal Employees' Compensation Act.
The latest form for Request for Employment Information expires 2028-07-31 and is listed under ICR 202504-1240-001.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CA-1027 Request for Employer Information | Form and Instruction |
| Form CA-1027 Request for Employment Information | Form and Instruction |
 PC_202504-1240-001_072425_111054_1.pdf (document unavailable) | Public Comments |
| Supporting Statement 1240-0047 (CA-1027) OCIO1.docx | Supporting Statement A |
| Supporting Statement 1240-0047 (CA-1027) OCIO1.docx | Supporting Statement A |
| Comment received for 1240-0047.pdf (document unavailable) | Public Comments |
| 5 U.S.C. 8106.docx | Supplementary Document |
| OPM RUS Pay Scale 2025.pdf | Supplementary Document |
| OPM RUS Pay Scale 2025.pdf | Supplementary Document |
| BLS Current Salary Dec 2024.pdf | Supplementary Document |
| BLS Current Salary Dec 2024.pdf | Supplementary Document |
 Request for Employment Information |
Form and Instruction |
| Request for Employment Information |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202504-1240-001 | Extension without change of a currently approved collection | 2025-06-24 | ||
| 202204-1240-001 | Revision of a currently approved collection | 2022-06-29 | Approved without change | |
| 201902-1240-002 | Revision of a currently approved collection | 2019-05-31 | Approved without change | |
| 201507-1240-003 | Revision of a currently approved collection | 2016-01-29 | Approved without change | |
| 201209-1240-004 | Revision of a currently approved collection | 2012-12-11 | Approved without change | |
| 201003-1240-047 | Extension without change of a currently approved collection | 2010-03-12 | Approved without change |