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Office of Workers' Compensation Programs

Agency prefix 1240 · OWCP · Cabinet Departments · Latest filing 2026-06-04

Agency summary

Agency code: OWCP

Government type: Cabinet Departments

Indexed filings: 505

Latest filing date: 2026-06-04

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Parent family and related agencies

Parent family: Department of Labor

OMB Prefix Agency Code Filings
1200 Department of Labor DOL 3
1205 Employment and Training Administration ETA 2413
1210 Employee Benefits Security Administration EBSA 1096
1212 Pension Benefit Guaranty Corporation PBGC 627
1214 Office of the American Workplace/Office of Labor Management Standards OAW/OLMS 22
1215 Employment Standards Administration ESA 1262
1218 Occupational Safety and Health Administration OSHA 1779
1219 Mine Safety and Health Administration MSHA 1453
1220 Bureau of Labor Statistics BLS 1420
1225 Departmental Management DM 255
1230 Office of Disability Employment Policy ODEP 35
1235 Wage and Hour Division WHD 193
1245 Office of Labor-Management Standards OLMS 39
1250 Office of Federal Contract Compliance Programs OFCCP 57
1255 1255 2
1290 Office of the Secretary OS 82
1291 Office of the Assistant Secretary for Administration and Management OASAM 26
1292 Office of the Inspector General OIG 1
1293 Office of the Assistant Secretary for Veterans' Employment and Training ASVET 90
1294 Office of the American Workplace OAW 1
Forms
OMB Number Title Latest filing
1240-0063 Claim for Consequential Illness Benefits Under the Energy Employees Occupational Illness Compensation Program Act 2024-05-29
1240-0062 Authorization Request Form and Certification /Letter of Medical Necessity for Compounded Drugs (OWCP-26) 2024-06-05
1240-0061 Voluntary Demographic Survey for Office of Workers’ Compensation Programs (OWCP) Claimants 2023-12-20
1240-0060 Division of Energy Employees Occupational Illnesses Compensation (DEEOIC) Authorization Request Forms 2026-02-27
1240-0059 Peace Corps Volunteer Authorization for Examination and/or Treatment 2025-11-13
1240-0058 Request for Intervention, Longshore and Harbor Workers' Compensation Act 2026-03-06
1240-0057 Application for Self-Insurance Under the Black Lung Benefits Act 2025-01-15
1240-0056 Medical Travel Refund Request Form 2017-01-10
1240-0055 Authorization Request Forms/Certification/Letter of Medical Necessity 2024-05-30
1240-0054 Disclosure of Medical Evidence 2025-06-04
1240-0053 Request for Electronic Service of Orders - Waiver of Certified Mail Requirement 2025-06-10
1240-0052 Contractor Surveys under the Federal Employees’ Compensation Act 2010-10-04
1240-0051 Overpayment Recovery Questionnaire 2025-09-16
1240-0050 Pharmacy Billing Requirements 2025-07-28
1240-0049 Representative Fee Request 2025-04-30
1240-0048 Notice of Issuance of Insurance Policy 2024-01-31
1240-0047 Request for Employment Information 2025-06-24
1240-0046 Federal Employees' Compensation Act Medical Reports and Compensation Claims 2026-06-04
1240-0045 Rehabilitation Plan and Award 2023-12-08
1240-0044 Health Insurance Claim Form 2025-03-31
1240-0043 Payment of Compensation Without Award 2015-06-05
1240-0042 Notice of Controversion of Right to Compensation 2024-07-24
1240-0041 Notice of Payments 2024-07-24
1240-0040 Certification of Funeral Expenses under the Longshore and Harbor Workers' Compensation Act 2023-10-17
1240-0039 Agreement and Undertaking 2024-05-20
1240-0038 Miner's Claim for Benefits Under the Black Lung Benefits Act CM-911 and Employment History CM-911a 2024-03-13
1240-0037 Medical Travel Refund Request 2026-01-08
1240-0036 Pre-Hearing Statement 2023-12-14
1240-0035 Description of Coal Mine Work and Other Employment 2023-09-13
1240-0034 Authorization for Release of Medical Information for Black Lung Benefits 2024-12-12
1240-0033 Operator Controversion, Operator Response, Operator Response to Schedule for Submission of Additional Evidence, and Operator Response to Notice of Claim 2024-01-31
1240-0032 Request for State or Federal Workers' Compensation Information 2026-03-11
1240-0031 Certification by School Official 2026-03-11
1240-0030 Notice of Termination, Suspension, Reduction, or Increase in Benefit Payments 2025-09-12
1240-0029 Request for Examination and/or Treatment 2023-10-10
1240-0028 Report of Changes That May Affect Your Black Lung Benefits 2024-12-03
1240-0027 Survivor's Form for Benefits Under the Black Lung Benefits Act 2024-03-13
1240-0026 Application for Continuation of Death Benefit for Student 2023-10-17
1240-0025 Request for Earnings Information Report 2024-12-30
1240-0024 Certificate of Medical Necessity 2024-03-25
1240-0023 Claim Adjudication Process for the Alleged Presence of Pneumoconiosis 2024-01-31
1240-0022 Notice of Law Enforcement Officer's Injury or Occupational Disease and Notice of Law Enforcement Officer's Death 2024-10-24
1240-0021 Provider Enrollment Form 2023-10-03
1240-0020 Representative Payee Report, Representative Payee Report, Short Form, Physician's Medical Officer's Statement 2024-03-29
1240-0019 Uniform Billing Form (OWCP-04) 2025-04-01
1240-0018 Claim for Reimbursement-Assisted Reemployment 2025-09-26
1240-0017 Death Gratuity 2026-04-17
1240-0016 Request for Information on Earnings, Dual Benefits, Dependents, and Third Party Settlements 2023-09-25
1240-0015 Claim for Continuance of Compensation (CA-12) 2023-12-05
1240-0014 Regulations Governing the Administration of the Longshore and Harbor Workers' Compensation Act 2025-02-19
1240-0013 Claim for Compensation by Dependents Information Reports 2026-04-28
1240-0012 Rehabilitation Maintenance Certificate 2025-03-21
1240-0011 Application for Approval of a Representative's Fee in Black Lung Claim Proceedings Conducted by the U.S. Department of Labor 2024-01-31
1240-0010 Request to be Selected as Payee 2026-01-12
1240-0009 Notice of Recurrence 2023-12-06
1240-0008 Rehabilitation Action Report 2024-03-26
1240-0007 Claim for Medical Reimbursement Form 2026-01-08
1240-0006 War Hazards Compensation Act Claims, Benefits, and Notices 2026-03-17
1240-0005 Securing Financial Obligations Under the Longshore and Harbor Workers' Compensation Act and its Extensions 2023-06-28
1240-0004 Carrier's Report of Issuance of Policy 2025-07-15
1240-0003 Employer's First Report of Injury or Occupational Disease; Physician's Report on Impairment of Vision; and Employer's Supplementary Report of Accident or Occupational Illness 2024-03-19
1240-0002 Energy Employees Occupational Illness Compensation Program Act Forms (Various) 2026-05-28
1240-0001 Statement of Recovery Forms 2024-11-21