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20 CFR 725.405, 406, 701 and 705 BLBA
20 CFR 725.405, 406, 701 and 705 BLBA Supporting Reg.pdf
Uniform Billing Form
20 CFR 725.405, 406, 701 and 705 BLBA
OMB: 1240-0019
OMB.report
DOL/OWCP
OMB 1240-0019
ICR 202312-1240-005
20 CFR 725.405, 406, 701 and 705 BLBA
( Supplementary Document )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1240-0019 can be found here:
2025-04-01 - Extension without change of a currently approved collection
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