Information Collection Request
Division of Energy Employees Occupational Illnesses Compensation (DEEOIC) Authorization Request Forms
ICR 202211-1240-001 · OMB 1240-0060 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1240-0060 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form EE-32 EE-32 (Home Health Care Authorization Request) |
Form and Instruction | Unchanged | Missing upstream |
| Form EE-30 EE-30 (Transplant Authorization Request) |
Form and Instruction | Unchanged | Repair queued |
| Form EE-28 EE-28 (Transportation Authorization Request) |
Form and Instruction | Unchanged | Missing upstream |
| Form EE-26 EE-26 (Rehabilitative Therapies Authorization Request) |
Form and Instruction | Unchanged | Repair queued |
| Form EE-24 EE-24 (Durable Medical Equipment Authorization) |
Form and Instruction | Unchanged | Repair queued |
| Form EE-22 EE-22 (General Medical Authorization Request) |
Form and Instruction | Unchanged | Repair queued |
 Justification - 1240-0060 (EE-28) and (EE-32)_20221103.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2022-11-03 | Repair queued |
| EE-32 (Home Health Care Authorization Request) Redlined updates.docx |
Supplementary Document | Uploaded 2022-08-05 | Repair queued |
| Justification - Home Health Care Authorization (EE-32).docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2022-08-05 | Repair queued |
| Supporting Statement 1240-0NEW (DEEEOIC) 5.26.21 CLEAN.docx |
Supporting Statement A | Uploaded 2021-05-26 | Repair queued |
 1240-0NEW 30-day FRN published.pdf |
Supplementary Document | Uploaded 2021-04-15 | Repair queued |
| 60-day FRN (1240-0NEW (DEEOIC)) published.pdf |
Supplementary Document | Uploaded 2021-01-19 | Missing upstream |
| 20 CFR Part 30.pdf |
Supplementary Document | Uploaded 2020-09-24 | Repair queued |
| 42 USC 7384 et seq.pdf |
Supplementary Document | Uploaded 2020-09-24 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 243779 |  EE-32 (Home Health Care Authorization Request) |
Form and Instruction | Unchanged | |
| 243778 | EE-30 (Transplant Authorization Request) |
Form and Instruction | Unchanged | |
| 243777 | EE-28 (Transportation Authorization Request) |
Form and Instruction | Unchanged | |
| 243776 | EE-26 (Rehabilitative Therapies Authorization Request) |
Form and Instruction | Unchanged | |
| 243775 | EE-24 (Durable Medical Equipment Authorization) |
Form and Instruction | Unchanged | |
| 243774 | EE-22 (General Medical Authorization Request) |
Form and Instruction | Unchanged |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | DOL/OWCP |
| OMB Control No | 1240-0060 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202208-1240-003 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |