REGULATIONS GOVERNING THE ADMINISTRATION OF THE LONGSHORE AND HARBOR WORKERS' COMPENSATION ACT

ICR 198811-1215-006

OMB: 1215-0160

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1215-0160 198811-1215-006
Historical Active 198605-1215-011
DOL/ESA
REGULATIONS GOVERNING THE ADMINISTRATION OF THE LONGSHORE AND HARBOR WORKERS' COMPENSATION ACT
Revision of a currently approved collection   No
Regular
Approved without change 01/18/1989
Retrieve Notice of Action (NOA) 11/30/1988
Request for exemption from the requirement to display an expiration date on the form is granted. Request for exemption from the requirements at 5 CFR 1320.21 is not granted. The Department shall include a disclosure statement as new forms are printed and distributed through the customary distribution process.
  Inventory as of this Action Requested Previously Approved
02/28/1992 02/28/1992 01/31/1989
305,196 0 470,196
106,405 0 127,917
0 0 0

THE REGULATIONS AND FORMS COVER THE SUBMISSION OF INFORMATION RELATING TO THE PROCESSING OF CLAIMS FOR BENEFITS UNDER THE LONGSHORE ACT AND ITS EXTENSIONS.

None
None


No

1
IC Title Form No. Form Name
REGULATIONS GOVERNING THE ADMINISTRATION OF THE LONGSHORE AND HARBOR WORKERS' COMPENSATION ACT LS-271, 274, 201, 513, 267, 203, 204, 262, LS 200, ESA-100(LS)

  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 305,196 470,196 0 -239,692 74,692 0
Annual Time Burden (Hours) 106,405 127,917 0 -31,250 9,738 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$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.
11/30/1988


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