OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Request for Electronic Service of Orders - Waiver of Certified Mail Requirement

ICR 201811-1240-002 · OMB 1240-0053 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form LS-801 Request for Electronic Service of Orders – Waiver of Certified Mail Requirement Form Modified Repair queued
Privacy Act Systems DOL-OWCP-3.pdf Supplementary Document Uploaded 2019-02-04 Repair queued
OMB - Supporting Statement for 1240-0053 (LS801-802) 2018.docx Supporting Statement A Uploaded 2018-12-03 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
214968 Request for Electronic Service of Orders – Waiver of Certified Mail Requirement Form Modified
ICR Details
1240-0053 201811-1240-002
Active 201506-1240-012
DOL/OWCP
Request for Electronic Service of Orders - Waiver of Certified Mail Requirement
Extension without change of a currently approved collection   No
Regular
Approved without change 04/15/2019
Retrieve Notice of Action (NOA) 03/01/2019
  Inventory as of this Action Requested Previously Approved
04/30/2022 36 Months From Approved 04/30/2019
9,240 0 9,240
770 0 770
0 0 0
These forms waive the requirement for orders to be delivered by certified mail.
US Code: 33 USC 919(e) Name of Law: Longshore and Harbor Workers' Compensation Act
   US Code: 33 USC 939(a)(1) Name of Law: Longshore and Harbor Workers' Compensation Act
  
None
Not associated with rulemaking
  83 FR 54617 10/30/2018
84 FR 7133 03/01/2019
No
  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 9,240 9,240 0 0 0 0
Annual Time Burden (Hours) 770 770 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$6,619
No
    Yes
    Yes
No
No
No
Uncollected
Cheryl Jordan 202 693-0289 [email protected]
  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.
03/01/2019