OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Administration of the Longshore and Harbor Workers' Compensation Act

OMB 1240-0014 · DOL/OWCP.

OMB 1240-0014

The regulations and forms cover the submission of information relating to the processing of claims for benefits under the Longshore Act and extensions.

The latest form for Administration of the Longshore and Harbor Workers' Compensation Act expires 2026-11-30 and can be found here.

Latest Forms, Documents, and Supporting Material
Document
Name
Justification for No Material/Nonsubstantive Change
Supporting Statement A
All Historical Document Collections
 No material or nonsubstantive change to a currently approved collection 2025-02-19
Approved without change
 Revision of a currently approved collection 2023-09-25
No material or nonsubstantive change to a currently approved collection 2020-12-15
Approved without change
 Revision of a currently approved collection 2020-05-27
Approved without change
 No material or nonsubstantive change to a currently approved collection 2018-04-24
Approved without change
 Extension without change of a currently approved collection 2017-01-31
Approved without change
 No material or nonsubstantive change to a currently approved collection 2015-10-19
Approved without change
 Revision of a currently approved collection 2015-06-05
Preapproved
 No material or nonsubstantive change to a currently approved collection 2015-03-12
Approved without change
 No material or nonsubstantive change to a currently approved collection 2014-09-30
Approved without change
 No material or nonsubstantive change to a currently approved collection 2014-07-03
Approved without change
 Revision of a currently approved collection 2013-12-27
Approved without change
 Revision of a currently approved collection 2012-06-29
Approved without change
 Extension without change of a currently approved collection 2010-03-12