ITEM 15 WORKSHEET FOR OMB NO. 1240-0014 (March 2012)
REG. NO. |
FORM NO./ PROGRAM |
REASON
|
PREVIOUS BURDEN 2006 |
Pervious BURDEN 2009 |
New Burden 2012 |
DIFFERENCE |
TYPE OF CHANGE (PC/ADJ) |
0 |
ESA-100 |
|
840 |
840 |
840 |
0 |
|
0 |
LS-200 |
|
2,440 |
2,448 |
1,904 |
-544 |
ADJ |
|
LS-201 |
|
1,260 |
1,150 |
910 |
-240 |
ADJ |
|
LS-203 |
|
2,835 |
2,588 |
2,048 |
-540 |
ADJ |
|
LS-204 |
|
50,400 |
46,000 |
27,300 |
-18,700 |
ADJ |
|
LS-262 |
|
70 |
70 |
70 |
0 |
|
|
LS-267 |
|
48 |
48 |
37 |
-11 |
ADJ |
|
LS-271 |
|
40 |
40 |
60 |
20 |
ADJ |
|
LS-274 |
|
619 |
563 |
565 |
2 |
ADJ |
|
LS-513 |
|
309 |
282 |
283 |
1 |
ADJ |
|
Liens (702.162) |
|
5 |
5 |
5 |
0 |
|
|
Certifications (702.174) |
|
4 |
4 |
4 |
0 |
|
|
Reinstatement (702.175) |
|
1 |
1 |
1 |
0 |
|
|
Settlements & Applications (702.242) |
|
10,080 |
10,080 |
9,498 |
-582 |
ADJ |
|
Payments (702.321) |
|
2,425 |
2,425 |
1,425 |
-1,000 |
ADJ |
TOTAL |
|
|
71,376 |
66,544 |
44,950
|
-21,594 |
|
PC – Program Change
ADJ - Adjustment
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | CHANGE WORKSHEET FOR OMB NO |
| Author | US Department of Labor |
| File Modified | 0000-00-00 |
| File Created | 2021-01-31 |