Regulations Governing the Administration of the Longshore and Harbor Workers' Compensation Act

ICR 200606-1215-001

OMB: 1215-0160

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1215-0160 200606-1215-001
Historical Active 200309-1215-001
DOL/ESA
Regulations Governing the Administration of the Longshore and Harbor Workers' Compensation Act
Extension without change of a currently approved collection   No
Regular
Approved without change 08/28/2006
Retrieve Notice of Action (NOA) 06/15/2006
  Inventory as of this Action Requested Previously Approved
08/31/2009 36 Months From Approved 12/31/2006
182,068 0 170,564
71,376 0 64,437
65,000 0 57,000

The regulations and forms cover the submission of information relating to the processing of claims for benefits under the Longshore Act and extensions.

None
None


No

1
IC Title Form No. Form Name
Regulations Governing the Administration of the Longshore and Harbor Workers' Compensation Act ESA-100, LS-200, LS-271, LS-201, LS-513, LS-267, LS-203, LS-204, LS-262, LS-274

  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 182,068 170,564 0 0 11,504 0
Annual Time Burden (Hours) 71,376 64,437 0 0 6,939 0
Annual Cost Burden (Dollars) 65,000 57,000 0 0 8,000 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.
06/15/2006


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