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Request for Medical Reports
OMB 1215-0106
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DOL/ESA
OMB 1215-0106
OMB 1215-0106
Latest Forms, Documents, and Supporting Material
Document
Name
Request for Medical Reports
Form
All Historical Document Collections
200001-1215-003
Approved without change
No material or nonsubstantive change to a currently approved collection
2000-01-20
199704-1215-004
Approved without change
Extension without change of a currently approved collection
1997-04-25
199405-1215-001
Approved without change
Revision of a currently approved collection
1994-05-09
199106-1215-001
Approved without change
Revision of a currently approved collection
1991-06-21
198808-1215-002
Approved without change
Extension without change of a currently approved collection
1988-08-11
198509-1215-001
Approved without change
Reinstatement with change of a previously approved collection
1985-09-23
198309-1215-036
Approved with change
No material or nonsubstantive change to a currently approved collection
1983-09-06
198208-1215-001
Approved without change
Revision of a currently approved collection
1982-08-23
198012-1215-009
Approved without change
New collection (Request for a new OMB Control Number)
1980-12-08
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