20 CFR 702.111 MAINTENANCE OF RECORDS OF INJURY/ OCCUPATIONAL DISEASE

ICR 198110-1215-003

OMB: 1215-0117

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
1215-0117 198110-1215-003
Historical Active
DOL/ESA
20 CFR 702.111 MAINTENANCE OF RECORDS OF INJURY/ OCCUPATIONAL DISEASE
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 12/09/1981
Retrieve Notice of Action (NOA) 10/28/1981
  Inventory as of this Action Requested Previously Approved
07/31/1983 07/31/1983
254,000 0 0
5,080 0 0
0 0 0

SECTION 29 OF THE LONGSHOREMEN'S ACT REQUIRES THAT EVERY EMPLOYER SHALL KEEP A RECORD IN RESPECT OF ANY INJURY TO AN EMPLOYEE AND THAT SUCH RECORD SHALL BE AVAILABLE FOR INSPECTION BY THE SECRETARY OF LABOR. INSPECTION MAY BE REQUIRED TO VERIFY COMPLIANCE WITH ACT.

None
None


No

1
IC Title Form No. Form Name
20 CFR 702.111 MAINTENANCE OF RECORDS OF INJURY/ OCCUPATIONAL DISEASE ESA-100LS

  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 254,000 0 0 0 254,000 0
Annual Time Burden (Hours) 5,080 0 0 0 5,080 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
10/28/1981


© 2024 OMB.report | Privacy Policy