Owcp Representative Fee Request: Feca (ca-38), Black Lung (cm-972), And Longshore (20 Cfr 702.132) Programs

OWCP REPRESENTATIVE FEE REQUEST: FECA (CA-38), BLACK LUNG (CM-972), AND LONGSHORE (20 CFR 702.132) PROGRAMS

OMB: 1215-0078

IC ID: 122085

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OWCP REPRESENTATIVE FEE REQUEST: FECA (CA-38), BLACK LUNG (CM-972), AND LONGSHORE (20 CFR 702.132) PROGRAMS
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CA-38 (FECA) No No
Form CA-972 (BL) No No


    

15,600 0
   
Private Sector Businesses or other for-profits
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 15,600 0 0 1,100 0 14,500
Annual IC Time Burden (Hours) 10,672 0 0 489 0 10,183
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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