OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Agreement and Undertaking

OMB 1215-0034 · DOL/ESA.

OMB 1215-0034

Latest Forms, Documents, and Supporting Material

Document Name
Form OWCP-1 Agreement and Undertaking Form and Instruction
OMB 83-1 1215-0034 2008.pdf Supplementary Document
SS for 1215-0034 09-11-2008[1].doc Supporting Statement A
20 CFR 726.110 et seq.pdf Supplementary Document
30 USC 933.htm Supplementary Document
Agreement and Undertaking Form and Instruction

All Historical Document Collections

200805-1215-007 Approved without change	Revision of a currently approved collection	2008-09-24
200510-1215-003 Approved without change	Extension without change of a currently approved collection	2005-10-11
200210-1215-004 Approved without change	Extension without change of a currently approved collection	2002-10-31
199912-1215-002 Approved without change	Revision of a currently approved collection	1999-12-03
199612-1215-002 Approved without change	Extension without change of a currently approved collection	1996-12-09
199312-1215-001 Approved without change	Extension without change of a currently approved collection	1993-12-10
199101-1215-003 Approved without change	Extension without change of a currently approved collection	1991-01-07
198801-1215-002 Approved without change	Extension without change of a currently approved collection	1988-01-13
198502-1215-001 Approved without change	Revision of a currently approved collection	1985-02-19
198309-1215-023 Approved with change	No material or nonsubstantive change to a currently approved collection	1983-09-06
198203-1215-001 Approved without change	Revision of a currently approved collection	1982-03-29
197806-1215-016 Approved with change	No material or nonsubstantive change to a currently approved collection	1978-06-02
197709-1215-005 Approved without change	Revision of a currently approved collection	1977-09-14