The Carrier's Report of Issuance of
Policy (Form LS-570) is used by authorized insurance carriers to
report the policy of insurance issued for each insured employer.
This form is to be sent to the Deputy Commissioner in the
compensation district indicated by the employer's address. Section
32(a) of the LHWCA (33 USC 932(a)), requires every employer to
secure the payment of such compensation with any insurance company
authorized by the Secretary, to insure payment of compensation
under this Act; or (2) receiving an authorization from the
Secretary to pay such compensation directly.
US Code:
33
USC 932(a) Name of Law: Longshore and Harbor Workers'
Compensation Act
The burden hours for this
information collection have decreased from the previous submission
of 5,000 to 1,500 which a reduction in burden hours of 58 from the
last submission of 83 hours. This adjustment is due to decrease in
the actual number of forms received this year.
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.