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Uniform Billing Form (OWCP-04)
OMB 1215-0176
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OMB 1215-0176
OMB 1215-0176
Latest Forms, Documents, and Supporting Material
Document
Name
Form OWcp-04 Uniform Billing Form (OWCP-04)
Form and Instruction
NOTE TO REVIEWER 1215-0176.doc
Supplementary Document
1215-0176 Supporting Statement 9-24-2009 final[2].doc
Supporting Statement A
Uniform Billing Form (OWCP-04)
Form and Instruction
All Historical Document Collections
200905-1215-001
Approved without change
Extension without change of a currently approved collection
2009-10-06
200701-1215-007
Approved without change
No material or nonsubstantive change to a currently approved collection
2007-01-10
200609-1215-002
Approved without change
Extension without change of a currently approved collection
2006-10-23
200506-1215-012
Approved without change
No material or nonsubstantive change to a currently approved collection
2005-06-29
200310-1215-003
Approved without change
Extension without change of a currently approved collection
2003-10-20
200108-1215-004
Approved without change
No material or nonsubstantive change to a currently approved collection
2001-08-03
200011-1215-001
Approved without change
Extension without change of a currently approved collection
2000-11-06
199710-1215-004
Approved without change
Extension without change of a currently approved collection
1997-10-23
199412-1215-002
Approved without change
Extension without change of a currently approved collection
1994-12-21
199410-1215-005
Approved with change
No material or nonsubstantive change to a currently approved collection
1994-10-11
199111-1215-009
Approved with change
No material or nonsubstantive change to a currently approved collection
1991-11-14
199111-1215-006
Approved without change
Extension without change of a currently approved collection
1991-11-19
199107-1215-005
Approved without change
New collection (Request for a new OMB Control Number)
1991-07-31
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