Department of Labor November 14, 2012 – Federal Register Recent Federal Regulation Documents

Agency Information Collection Activities; Submission for OMB Review; Comment Request; Health Insurance Claim Form
Document Number: 2012-27609
Type: Notice
Date: 2012-11-14
Agency: Department of Labor, Office of the Secretary
The Department of Labor (DOL) is submitting the Office of Workers' Compensation Programs (OWCP) sponsored information collection request (ICR) revision titled, ``Health Insurance Claim Form,'' (Form OWCP-1500) to the Office of Management and Budget (OMB) for review and approval for use in accordance with the Paperwork Reduction Act (PRA) of 1995.
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