OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Rehabilitation Maintenance Certificate

OMB 1215-0161 · DOL/ESA.

OMB 1215-0161

Latest Forms, Documents, and Supporting Material

Document Name
Form OWCP-17 Rehabilitation Maintenance Certificate Form
SS 1215-0161 (OWCP-17) 04-30-2009Revised (3).doc Supporting Statement A
DOL GOVT-1 1215-0161 (2009).pdf Supplementary Document
DOL ESA-15- 1215-0161 (2009).pdf Supplementary Document
Rehabilitation Maintenance Certificate Form

All Historical Document Collections

200812-1215-006 Approved without change	Extension without change of a currently approved collection	2009-05-18
200606-1215-003 Approved without change	Extension without change of a currently approved collection	2006-06-15
200307-1215-002 Approved without change	Extension without change of a currently approved collection	2003-07-02
200008-1215-002 Approved without change	Extension without change of a currently approved collection	2000-08-14
199807-1215-008 Approved without change	Extension without change of a currently approved collection	1998-07-31
199506-1215-010 Approved without change	Extension without change of a currently approved collection	1995-06-26
199208-1215-001 Approved without change	Revision of a currently approved collection	1992-08-24
198908-1215-004 Approved without change	Revision of a currently approved collection	1989-08-08
198610-1215-006 Approved without change	Revision of a currently approved collection	1986-10-06
198507-1215-002 Approved with change	No material or nonsubstantive change to a currently approved collection	1985-07-03
198501-1215-001 Approved without change	New collection (Request for a new OMB Control Number)	1985-01-14