Information Collection Request
Agreement and Undertaking
ICR 202401-1240-001 · OMB 1240-0039 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form OWCP-1 Agreement and Undertaking |
Form | Modified | Repair queued |
 Supporting Statement OWCP-1- Final.docx |
Supporting Statement A | Uploaded 2024-05-08 | Repair queued |
 30-day FRN (1240-0039) published.pdf |
Supplementary Document | Uploaded 2021-03-15 | Repair queued |
| 30 USC 901.pdf |
Supplementary Document | Uploaded 2021-03-08 | Repair queued |
| 20 CFR Part 726.110.pdf |
Supplementary Document | Uploaded 2021-03-08 | Repair queued |
| 30 USC 933.pdf |
Supplementary Document | Uploaded 2021-03-08 | Missing upstream |
| 60-day FRN (1240-0039) published.pdf |
Supplementary Document | Uploaded 2021-03-08 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 13662 |  Agreement and Undertaking |
Form | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | DOL/OWCP |
| OMB Control No | 1240-0039 |
| Type of Information Collection | Extension without change of a currently approved collection |
| Previous ICR Reference No | 202012-1240-005 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |