OWCP 915 Form Revision: What Federal Workers Need to Know

The Office of Workers Compensation Programs wants feedback on how to reduce the time and effort required to file these claims. This is not a change to your benefits but a review of the forms themselves. The goal is to ensure that requested data can be provided in the desired format. Reporting burden in terms of time and financial resources is also minimized. Collection instruments are designed to be clearly understood. The impact of collection requirements on respondents can be properly assessed.

Two specific forms are under review during this public comment period. The first is the Claim for Medical Reimbursement OWCP-915 Part A. The second is the Medication Reimbursement Request OWCP-915 Part B. These documents allow you to get reimbursed for covered medical conditions under the Federal Employees Compensation Act. The regulations implementing these three statutes allow for the collection of information needed to enable OWCP to determine if reimbursement requests for medical expenses should be paid. All three of these statutes require that OWCP reimburse beneficiaries for medical and medication expenses for covered medical conditions. Form OWCP-915 is the standard format for the collection of these data elements.

You have until August 24, 2026 to submit feedback. Comments must be received on or before that date to be considered. Late or untimely filed comments will not be considered by the agency. You can submit these comments electronically through the Federal Rulemaking Portal. You may also submit written or paper submissions by mail or hand delivery. Comments submitted electronically will be posted to the docket with no changes. Because your comment will be made public, you are responsible for ensuring that your comment does not include any confidential information.

The agency reports specific data regarding how many people use these forms. There are currently 68,373 respondents expected to use this collection. The total number of responses is 136,746. The annual burden hours are 10,028. The annual respondent or recordkeeper cost is 534,221.04 dollars. These numbers help the agency understand the impact of the collection requirements on respondents. The agency is soliciting comments concerning the proposed information collection. OWCP is particularly interested in comments that evaluate whether the collection of information is necessary. They want to evaluate the accuracy of OWCP's estimate of the burden related to the information collection. They also want to suggest methods to enhance the quality, utility, and clarity of the information to be collected. You can suggest methods to minimize the burden of the information collection on those who are to respond.

The agency warns about what information you should include in your comments. Confidential information that you do not wish to be made available to the public should be submitted as a written paper submission. The DOL encourages commenters not to include personally identifiable information, confidential business data, or other sensitive statements or information in any comments. Comments submitted in response to this notice will be summarized in the request for Office of Management and Budget approval of the proposed information collection request. They will become a matter of public record. The DOL conducts a pre-clearance consultation program to provide the general public and Federal agencies an opportunity to comment. This program helps to ensure requested data can be provided in the desired format. It also ensures reporting burden is minimized.

You may contact the agency for further information. Anjanette Suggs is the contact person at the Office of Workers Compensation Programs. You can reach her by email or by phone at (202) 354-9660. Questions about the information collection requirements may be directed to the person listed in the contact section. You can view the official notice for more details. The full text is available at the official Federal Register link. This document is part of the Federal Register Volume 91 Number 121. You may also find documents related to this information collection request at DOL-OWCP located at 200 Constitution Ave NW Room S-3524 Washington DC 20210. https://www.federalregister.gov/documents/2026/06/25/2026-12757/proposed-revision-of-a-previously-approved-information-collection-claim-for-medical-reimbursement