Information Collection

Regulations Governing The Administration Of The Longshore And Harbor Workers' Compensation Act

IC 122330 under ICR 199410-1215-001 · OMB 1215-0160.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1215-0160 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

No indexed documents/forms are available for this IC yet. A refresh has been queued.

IC Title:

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

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	LS 200	No	No
Form	ESA-100(LS)	No	No
Form	LS-271	No	No
Form	274, 201	No	No
Form	513, 267	No	No
Form	203, 204	No	No
Form	262	No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 236,137

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	236,137	-375	236,512
Annual IC Time Burden (Hours)	92,422	-375	92,797
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.