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EEOICP Forms for Private Sector
Energy Employees Occupational Illness Compensation Program Act Forms
OMB: 1240-0002
IC ID: 178683
OMB.report
DOL/OWCP
OMB 1240-0002
ICR 202412-1240-003
IC 178683
( )
Documents and Forms
Document Name
Document Type
Form EE-7
EEOICP Forms for Private Sector
Form
EE-7 Medical requirements
Draft EE-7.docx
Form
EE-17B Physician Certification of Medical Necessity under the EEOICPA
EE-17B.docx
Form and Instruction
Information Collection (IC) Details
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