ICR Documents

Supporting Statement A Document Date Uploaded 1240-0007 Supporting Statement_2024__05232024_MN clean.docx 05/23/2024 Supporting Statement B Document Date Uploaded Supplementary Documents Title Document Document Type Date Uploaded Employees Compensation Act Employees Compensation Act.pdf Supplementary Document 04/22/2021 Black Lung Benefits Act Black Lung Benefits Act.pdf Supplementary Document 04/22/2021 Energy Employees Occupational Illness Compensation Program Act (EEOICPA) Energy Employees Occupational Illness Compensation Program Act (EEOICPA).pdf Supplementary Document 04/22/2021 Claim for Medical Reimbursement 1240-0007 Claim for Medical Reimbursement (OWCP-915)_Form.docx Supplementary Document 01/07/2026 Justification for 1240-0007 'Claim for Reimbursement' (OWCP-915) Justification for 1240-0007 Claim for Medical Reimbursement (OWCP-915).docx Justification for No Material/Nonsubstantive Change 01/07/2026 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received