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1240-0032 Supporting Statement (CM-905) 5-18-23
1240-0032 Supporting Statement (CM-905) 5-18-23.docx
Request for State or Federal Workers' Compensation Information
OMB: 1240-0032
OMB.report
DOL/OWCP
OMB 1240-0032
ICR 202304-1240-008
1240-0032 Supporting Statement (CM-905) 5-18-23
( Supporting Statement A )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1240-0032 can be found here:
2026-03-11 - Extension without change of a currently approved collection
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