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Federal forms, ICRs, and supporting documents

Information Collection Request

Regulations Governing the Administration of the Longshore and Harbor Workers' Compensation Act

ICR 199710-1215-002 · OMB 1215-0160 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
13846 Regulations Governing the Administration of the Longshore and Harbor Workers' Compensation Act Form Migrated
ICR Details
1215-0160 199710-1215-002
Historical Active 199410-1215-001
DOL/ESA
Regulations Governing the Administration of the Longshore and Harbor Workers' Compensation Act
Extension without change of a currently approved collection   No
Regular
Approved without change 12/09/1997
Retrieve Notice of Action (NOA) 10/23/1997
DOL's request for a continued exemption from the requirement to display the expiration date of the PRA approval for this collection of information is granted.
  Inventory as of this Action Requested Previously Approved
12/31/2000 12/31/2000 12/31/1997
212,547 0 236,137
84,576 0 92,422
67,000 0 0
The regulations and forms cover the submission of information relating to the processing of claims for benefits under the Longshore Act and extensions.
None
None
No
1
IC Title Form No. Form Name
Regulations Governing the Administration of the Longshore and Harbor Workers' Compensation Act LS-200, ESA-100(LS), LS-271, LS-274, LS-201, LS-513, LS-267, LS-203, LS-204, LS-262
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 212,547 236,137 0 0 -23,590 0
Annual Time Burden (Hours) 84,576 92,422 0 0 -7,846 0
Annual Cost Burden (Dollars) 67,000 0 0 0 67,000 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
10/23/1997