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 Justification for OWCP-1168 - Enrollment Form Justification -OWCP 1168 Provider Enrollment Form.docx Justification for No Material/Nonsubstantive Change 04/08/2020 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received