OMB control number

Securing Financial Obligations Under the Longshore and Harbor Workers' Compensation Act and its Extensions

OMB 1215-0204 · DOL/ESA.

OMB 1215-0204

Latest Forms, Documents, and Supporting Material

Document Name
Form LS-275-IC Securing Financial Obligations Under the Longshore and Harbor Workers' Compensation Act and its Extensions Form
Supporting Statement - 1215-0204 12-06.doc Supporting Statement A
Securing Financial Obligations Under the Longshore and Harbor Workers' Compensation Act and its Extensions Form

All Historical Document Collections

200703-1215-003 Approved without change	Extension without change of a currently approved collection	2007-05-22
200403-1215-004 Approved with change	New collection (Request for a new OMB Control Number)	2004-03-12