20 CFR 702.148 MAITENANCE OF RECORDS OF COMPENSATION PAYMENTS

ICR 198110-1215-004

OMB: 1215-0118

Federal Form Document

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ICR Details
1215-0118 198110-1215-004
Historical Active
DOL/ESA
20 CFR 702.148 MAITENANCE OF RECORDS OF COMPENSATION PAYMENTS
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 12/18/1981
Retrieve Notice of Action (NOA) 10/28/1981
There are no burden hours associated with this request as the duplicates one required by the Internal Revenue Service.
  Inventory as of this Action Requested Previously Approved
07/31/1983 07/31/1983
800 0 0
1 0 0
0 0 0

SECTION 44(D)(2) OF THE LONGSHOREMEN'S ACT REQUIRES ALL INSURANCE CARRIER'S AND SELF-INSURED EMPLOYERS TO MAINTAIN RECORDS PERTAINING TO THE AMOUNTS PAID FOR COMPENSATION AND MEDICAL DURING EACH CALENDAR YEAR. INSPECTION MAY BE REQUIRED TO VERIFY COMPLIANCE WITH ACT.

None
None


No

1
IC Title Form No. Form Name
20 CFR 702.148 MAITENANCE OF RECORDS OF COMPENSATION PAYMENTS ESA-101LS

  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 800 0 0 0 800 0
Annual Time Burden (Hours) 1 0 0 0 1 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


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