OMB control number
Contractor Surveys under the Federal Employees Compensation Act
OMB 1240-0052 · DOL/OWCP.
OMB 1240-0052
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 amendment summary of changes.doc | Supplementary Document |
 VPAT_SurveyMonkey.pdf | Supplementary Document |
| revised supporting statement b- sep24 (2).doc | Supporting Statement B |
| final supporting statement 10-19 (3).doc | Supporting Statement A |
 Contractor-Rehabilitation Counselor Survey |
Other-survey |
| Contractor Survey-Field Nurse Survey |
Instruction |
| Contractor Survey-COP Nurse |
Other-survey |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201005-1240-004 | New collection (Request for a new OMB Control Number) | 2010-10-04 | Approved with change |