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Agenda
Reg Review
ICR
ICR Documents
Supporting Statement A
Document
Date Uploaded
Supporting Statement 1240-0021 OWCP 1168.docx
02/28/2020
Supporting Statement B
Document
Date Uploaded
Supplementary Documents
Title
Document
Document Type
Date Uploaded
20 CFR 10.801 FECA
20 CFR 10.801 FECA - Supporting Reg.pdf
Supplementary Document
11/05/2012
20 CFR 30.701 EEOICPA
20 CFR 30.701 EEOICPA Supporting Reg.pdf
Supplementary Document
11/05/2012
20 CFR 725.704 and 725.705 BLBA
20 CFR 725.704 and 705 BLBA Supporting Reg.pdf
Supplementary Document
11/05/2012
Web Bill Processing Portal
Web Bill Processing Portal.pdf
Supplementary Document
03/20/2019
How to complete a Provider Enrollment - Group
How to Complete a Provider Enrollment Application - Group.pptm
Supplementary Document
03/20/2019
How to Complete a Provider Enrollment Application - Individual
How to Complete a Provider Enrollment Application - Individual.pptm
Supplementary Document
03/20/2019
How to Complete a Provider Enrollment Application - Facility
How to Complete a Provider Enrollment Application - Facility.pptm
Supplementary Document
03/20/2019
Request for Emergency Processing for ICR 202002-1240-0021
Signed Emergency Memo - 2-13-20.pdf
Supplementary Document
02/14/2020
OWCP-1168 Provider Enrollment Form
OWCP-1168_V21_Apr 30 - Updated_V22_Feb 14 - REVISED.docx
Supplementary Document
03/04/2020
Public Comments
Author Name
Comment Document
Author Affiliation
Sponsoring Org.
Type
Category
Date of Comment
Date Comment Received
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.