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Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 202502-1240-002 · OMB 1240-0053 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form LS-801 Request for Electronic Service of Orders – Waiver of Certified Mail Requirement Form and Instruction Modified Repair queued
1240-0053 Supporting Statement (LS801-802) 2025_CLEAN.docx Supporting Statement A Uploaded 2025-06-04 Missing upstream
Privacy Act Systems DOL-OWCP-3.pdf Supplementary Document Uploaded 2019-02-04 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
214968 Request for Electronic Service of Orders – Waiver of Certified Mail Requirement Form and Instruction Modified
ICR Details
1240-0053 202502-1240-002
Received in OIRA 202111-1240-001
DOL/OWCP
Request for Electronic Service of Orders - Waiver of Certified Mail Requirement
Extension without change of a currently approved collection   No
Regular 06/10/2025
  Requested Previously Approved
36 Months From Approved 06/30/2025
58,732 9,240
4,894 770
330 0
The collections of information in the LS-801 and LS-802 forms waive the requirement for compensation 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
  90 FR 11555 03/07/2025
90 FR 24415 06/10/2025
Yes
  Total Request 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 58,732 9,240 0 49,492 0 0
Annual Time Burden (Hours) 4,894 770 0 4,124 0 0
Annual Cost Burden (Dollars) 330 0 0 330 0 0
Yes
Miscellaneous Actions
No
The increase in the number of respondents and costs was a change in the method of estimating respondents from the previous submission which was based on a percentage of an estimate of total orders. This collection uses the actual number of LS-801 and LS-802 forms received in the prior fiscal year (Fiscal Year 2024) and categorized as LS-801 and LS-802. It is a more accurate estimate. Previous costs to respondents were 0 and are now $330 due to an error in the last request to OMB. Costs were $330 in the last supporting statement as well. There are no other changes to the ICR.
$99,057
No
    Yes
    Yes
No
No
No
No
Jamie Margherio 713 651-4658 [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.
06/10/2025