Contractor Survey-COP Nurse

Contractor Surveys under the Federal EmployeesÂ’ Compensation Act

OMB: 1240-0052

IC ID: 192948

Documents and Forms
Document Name
Document Type
Other-survey
Instruction
Information Collection (IC) Details

View Information Collection (IC)

Contractor Survey-COP Nurse
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-survey contractor survey-cop nurse.pdf No   Paper Only
Instruction revised COP Nurse Letter revised sep24.doc No   Paper Only

Income Security General Retirement and Disability

DOL/GOVT-1  67 FR 16826

132 0
   
Private Sector Businesses or other for-profits
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 132 0 132 0 0 0
Annual IC Time Burden (Hours) 22 0 22 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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