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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
FECA Medical Report Forms, Claim for Compensation
Modified
232853
21212
109441
Form and Instruction
CA-7
Claim for Compensation
Form and Instruction
CA-17
Duty Status Report
Form and Instruction
CA-1331
Authorization to doctor for audiologic and otologic evaluation
Instruction
Instruction
Form and Instruction
CA-1332
Outline for Otologic Testing
Form and Instruction
OWCP-5A
Work Capacity Evaluation
Form and Instruction
owcp-5b
Work Capacity Evaluation
Form and Instruction
owcp-5c
Work Capacity Evaluation Form
Form and Instruction
ca-20
Attending Physicians Report
Form and Instruction
ca-16
Authorization for Examination and/or Treatment
Form and Instruction
CA-7
ECOMP Claim for Compensation
Total burden requested under this ICR:
232853
21212
109441
To view an IC, click on IC Title