Information Collection Request

Representative Fee Request

ICR 202503-1240-001 · OMB 1240-0049 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form CA-143 and CA-155 Representative Fee Request Form and Instruction Modified Repair queued
Supporting Statement for 1240-0049_20250422.docx Supporting Statement A Uploaded 2025-04-22 Missing upstream
20 cfr 10.700 tp 10.703.docx Supplementary Document Uploaded 2025-03-11 Repair queued
Privacy Act Systems-FECA.docx Supplementary Document Uploaded 2025-03-11 Repair queued
OPM Pay Table 2024 RUS.pdf Supplementary Document Uploaded 2025-03-11 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
13744 Representative Fee Request Form and Instruction Modified
ICR Details
StatusReceived in OIRA
Agency/SubagencyDOL/OWCP
OMB Control No1240-0049
Type of Information CollectionRevision of a currently approved collection
Previous ICR Reference No202204-1240-002
Date Submitted to OIRA1969-12-31
Requested Expiration Date1969-12-31