ICR Documents

Supporting Statement A Document Date Uploaded ICR SS 1240-0044 (OWCP-1500) DEEOIC RuleMaking.docx 01/25/2019 Supporting Statement B Document Date Uploaded Supplementary Documents Title Document Document Type Date Uploaded Supporting Regs (1240-0044) (OWCP-1500) 20 CFR 10.801 FECA - Supporting Reg.doc Supplementary Document 10/23/2012 Supporting Regs. (1240-0044) (OWCP-1500) 20 CFR 30.701 EEOICPA Supporting Reg.doc Supplementary Document 10/23/2012 Supporting Regs. (1240-0044) (OWCP-1500) 20 CFR 725.405 BLBA Supporting Reg.doc Supplementary Document 10/23/2012 OWCP 1500 (HCFA) OWCP-1500 Health Insurance Claim Form.pdf Supplementary Document 02/20/2020 1240-0044 Health Insurance Claim Form (OWCP-1500) 1240-0044 Health Insurance Claim Form (OWCP-1500).pdf Supplementary Document 08/27/2020 Privacy Act System of Records Privacy Act System of Records - FEC.docx Supplementary Document 09/09/2020 Justification for No material/Nonsubstantive Change for Form OWCP 1500 (HCFA) Justifiction - OWCP1500 (HCFA).docx Justification for No Material/Nonsubstantive Change 02/20/2020 Justification for No material/Nonsubstantive Change (OWCP-1500) Justifiction - OWCP1500 (HCFA).docx Justification for No Material/Nonsubstantive Change 08/27/2020 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received