Agency:

OWCP

Title:

OWCP-5b, Work Capacity Evaluation For Cardiovascular/Pulmonary Conditions

Form Description:

OWCP-5b, Work Capacity Evaluation For Cardiovascular/Pulmonary Conditions: Attending physicians use this form to report on a federal employee's work capacity limitations due to cardiovascular/pulmonary conditions he/she has reported.

OMB Control Number:

1215-0103

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