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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Supplemental Information on Accident and Insurance
Modified
1800
150
0
Form and Instruction
SI-1C (04-17)
Supplemental Information on Accident and Insurance
Form
ID-30K (05-17)
Notice to Request Supplemental Information on Injury or Illness
Supplemental Information on Accident and Insurance
Modified
7100
358
0
Form and Instruction
SI-5 (12-93)
Report of Payments to Employee Claiming Sickness Benefits Under the RUIA
Form and Instruction
ID-3S (03-09)
Request for Lien Information; Report of Settlement
Form and Instruction
ID-3S-1 (08-17)
Lien Information Under Section 12(o) of the RUIA
Form and Instruction
ID-3U (03-09)
Request for Section 2(f) Information
Form and Instruction
ID-3S (Internet) (09-14)
Request for Lien Information; Report of Settlement
Form and Instruction
ID-3U (Internet) (09-14)
Request for Section 2(f) Information
Form and Instruction
ID-30K-1 (05-17)
Notice of Request Supplemental Information on Injury or Illness
Form and Instruction
ID-30K-1 (Proposed)
Notice of Request Supplemental Information on Injury or Illness
Total burden requested under this ICR:
8900
508
0
To view an IC, click on IC Title
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