OMB control number
Notice Of Employee's Injury Or Death
OMB 1215-0063 · DOL/ESA.
OMB 1215-0063
Latest Forms, Documents, and Supporting Material
Document Name |
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NOTICE OF EMPLOYEE'S INJURY OR DEATH All Historical Document Collections
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Approved without change |
Revision of a currently approved collection | 1983-11-21 | |
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Approved with change |
No material or nonsubstantive change to a currently approved collection | 1983-09-06 | |
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Approved without change |
Extension without change of a currently approved collection | 1978-11-29 | |
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Approved with change |
No material or nonsubstantive change to a currently approved collection | 1978-06-29 | |
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Approved with change |
No material or nonsubstantive change to a currently approved collection | 1978-04-15 | |
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Approved without change |
Extension without change of a currently approved collection | 1978-03-24 |