ICR Documents

Supporting Statement A Document Date Uploaded 1240-0044 Supporting Statement (Final).docx 04/23/2021 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 Privacy Act System of Records Privacy Act System of Records - FEC.docx Supplementary Document 09/09/2020 60-day FRN (1240-0044) published 60-day FRN (1240-0044) published.pdf Supplementary Document 04/30/2021 30-day FRN (1240-0044) published 30-day FRN (1240-0044) published.pdf Supplementary Document 05/03/2021 Health Insurance Claim Form (OWCP-1500) 1240-0044 Health Insurance Claim Form (OWCP-1500) Highlighted Changes.pdf Supplementary Document 12/26/2023 Justification for 1240-0044 OWCP Health Insurance Claim Form (OWCP-1500) Justification-1240-0044 Health Insurance Claim Form (OWCP-1500).docx Justification for No Material/Nonsubstantive Change 12/26/2023 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received