OMB control number
Medical Travel Refund Request Form
OMB 1240-0056 ยท DOL/OWCP.
OMB 1240-0056
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 ICR Supporting Statement 1240-0NEW (OWCP-957) for RuleMaking.docx | Supporting Statement A |
 Medical Travel Refund Request |
Information collection |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201612-1240-006 | New collection (Request for a new OMB Control Number) | 2017-01-10 | Comment filed on proposed rule |