Information Collection Request
Securing Financial Obligations Under the Longshore and Harbor Workers' Compensation Act and its Extensions
ICR 202304-1240-005 · OMB 1240-0005 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form LS-276 Securing Financial Obligations Under the Longshore and Harbor Workers' Compensation Act and its Extensions |
Form and Instruction | Modified | Repair queued |
 Supporting Statement for 1240-0005_ OCIO 5-4.docx |
Supporting Statement A | Uploaded 2023-05-18 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 13942 |  Securing Financial Obligations Under the Longshore and Harbor Workers' Compensation Act and its Extensions |
Form and Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | DOL/OWCP |
| OMB Control No | 1240-0005 |
| Type of Information Collection | Extension without change of a currently approved collection |
| Previous ICR Reference No | 202008-1240-059 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |