OMB control number
OF 178 Certificate of Medical Examination
OMB 3206-0250 ยท OPM.
OMB 3206-0250
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form OF 178 Certificate of Medical Examination | Form and Instruction |
 SSA_3206-0250 of 1781.DOC | Supporting Statement A |
| 30 day notice of 178.pdf | Supplementary Document |
| 3206-0250 60 day notice.pdf | Supplementary Document |
 Certificate of Medical Examination |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201202-3206-002 | Extension without change of a currently approved collection | 2012-02-02 | Approved with change | |
| 201112-3206-003 | Revision of a currently approved collection | 2012-01-26 | Improperly submitted and continue | |
| 200810-3206-010 | New collection (Request for a new OMB Control Number) | 2008-12-12 | Approved with change |