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View Information Collection (IC)

Rehabilitation Maintenance Certificate
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form OWCP-17 Rehabilitation Maintenance Certificate OWCP-17_working.pdf http://www.dol.gov/owcp/dfec/regs/compliance/forms.htm Yes No Fillable Printable

Workforce Management Training and Employment

DOL/GOVT-1 (FECA); DOL/OWCP-15 (LHWCA)  67 FR 16826

370 0
   
Individuals or Households
 
   5 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 3,752 0 0 -1,270 0 5,022
Annual IC Time Burden (Hours) 625 0 0 -212 0 837
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.