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Agenda
Reg Review
ICR
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
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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The .gov means it's official.
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