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

View Information Collection (IC)

Request for Electronic Service of Orders – Waiver of Certified Mail Requirement
 
No Modified
 
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-801.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.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

9,240 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 9,240 0 0 -4,760 0 14,000
Annual IC Time Burden (Hours) 770 0 0 0 0 770
Annual IC Cost Burden (Dollars) 0 0 0 -13,252 0 13,252

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