ICR Documents

Supporting Statement A Document Date Uploaded SS 1240-0048 9.11.23_MN-MM.docx 01/30/2024 Supporting Statement B Document Date Uploaded Supplementary Documents Title Document Document Type Date Uploaded NCCI Screen Capture NCCI screen shot.docx Supplementary Document 05/10/2013 30 USC Section 933 30 USC Section 933.pdf Supplementary Document 05/10/2013 20 CFR Part V, Subpart C 20_CFR_Part_V_Subpart_C_726.208-213.pdf Supplementary Document 05/10/2013 726.208 - .213 System of Record Notice-DOL OWCP-2.pdf Supplementary Document 10/29/2019 2023 60-Day FRN 2023 60-Day FRN_1240-0048.pdf Supplementary Document 09/28/2023 2023 30-Day FRN_1240-0048 2023 30-Day FRN_1240-0048.pdf Supplementary Document 10/04/2023 NOTICE OF ISSUANCE OF INSURANCE POLICY Justification CM-921.docx Justification for No Material/Nonsubstantive Change 01/30/2024 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received