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