Request for Electronic Service of Orders – Waiver of Certified Mail Requirement

Request for Electronic Service of Orders - Waiver of Certified Mail Requirement

OMB: 1240-0053

IC ID: 214968

Information Collection (IC) Details

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Request for Electronic Service of Orders – Waiver of Certified Mail Requirement
 
No New
 
Voluntary
 
20 CFR 702.349

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form ls-801 Waiver of Service by Registered or Certified Mail for Employers and/or Insurance Carriers ls-801proposed.pdf http://www.dol.gov/owcp/dlhwc/LS-801.pdf Yes Yes Fillable Fileable Signable
Form LS-802 Waiver of Service by Registered or Certified Mail for Claimants and Authorized Representatives ls-802 proposed.pdf http://www.dol.gov/owcp/dlhwc/LS-802.pdf. Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

DOL/ESA-15  67 FR 16870

14,000 0
   
Individuals or Households
 
   66 %

  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 14,000 0 0 14,000 0 0
Annual IC Time Burden (Hours) 770 0 0 770 0 0
Annual IC Cost Burden (Dollars) 13,252 0 0 13,252 0 0

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

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