Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Health Insurance Claim Form
Modified
2996416
359359
0
Form
OWCP-1500
Health Insurance Claim Form
Form and Instruction
OWCP-1500
Health Insurance Claim Form
Total burden requested under this ICR:
2996416
359359
0
To view an IC, click on IC Title
An official website of the United States government
The .gov means it's official.
The site is secure.
