OMB control number

Overpayment Recovery Questionnaire

OMB 1240-0051 · DOL/OWCP.

OMB 1240-0051

This information collection is necessary to determine whether or not the recovery of any Black Lung, Energy Employees Occupational Illness Compensation Program Act or Federal Employees' Compensation overpayment may be waived, compromised, terminated, or collected in full.

The latest form for Overpayment Recovery Questionnaire expires 2029-02-28 and can be found here.