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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
282353
25605
110118
Form and Instruction
CA-7
Claim for Compensation
Form and Instruction
CA-17
Duty Status Report
Form and Instruction
OWCP-5a
Work Capacity Evaluation, Psychiatric/Psychological Conditions
Form and Instruction
owcp-5b
Work Capacity Evaluation, Cardiovascular/Pulmonary Conditions
Form and Instruction
owcp-5c
Work Capacity Evaluation Form, Musculoskeletal Conditions
Form and Instruction
ca-20
Attending Physicians Report
Form and Instruction
ca-16
Authorization for Examination and/or Treatment
Instruction
Form and Instruction
CA-1332
Outline for Otologic Testing
Form and Instruction
CA-1331 with CA-1087 enclosure
Authorization to Doctor for Audiologic and Otologic Evaluation OWCP Hearing Loss Requirments
Instruction
Total burden requested under this ICR:
282353
25605
110118
To view an IC, click on IC Title