Notice to OMB Reviewer - Non-material change LS-513

OMB No. 1240-0014

Report of Payments (LS-513)

Notice to OMB Reviewer:

The Office of Workers’ Compensation Programs (OWCP) Division of Longshore and Harbor Workers’ Compensation (DLHWC) is requesting a non-material change due to a new electronic submission option for this form.

The Transmission of Documents and Information Rule, published June 10, 2015, allows OWCP and private parties to use electronic communication methods instead of postal mail. The OWCP is planning to offer an electronic submission option for this form, which is submitted on an annual basis. Stakeholders may continue to use current methods of submission, but submission electronically will result in mailing cost savings for those who choose to use it.

Initially, the anticipated use of electronic means of transmission is estimated to be 30%. In the future, this percentage may increase. When this collection comes up for renewal in the future, a more precise percentage can be used and the burden estimate adjusted accordingly.

The information collected in this information collection request (ICR) is not changing, OWCP is only providing an alternative electronic method of submission.

• Mailing costs were previously estimated at $277.

• Anticipating a 30% rate of electronic transmission and an accompanying reduction in postal mail transmission, the DOL estimates this rule would yield a savings for this collection of $83.10.

• Revised mailing costs are estimated to be $194.