Notice to Reviewer 2017

Notice to OMB Reviewer - Non Material Change for (1240-0041) New LS-208.docx

Notice of Payments

Notice to Reviewer 2017

OMB: 1240-0041

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OMB No. 1240-0041


Notice of Payments (LS-208)



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 to stop the duplication of information collected on two of our forms used in accordance with the Longshore and Harbor Workers’ Compensation Act.


Section 914(b) of the Act requires the employer/carrier to issue payment of the first installment of compensation on or before the fourteenth day after notification of injury and requires the notification of such payment. Section 14(c) of the Act requires the employer/carrier to immediately issue notification that payment has begun or has been suspended. Section 30(b) and (e) of the Act requires the employer/carrier to file notice of payment and anytime an interim change in benefit payment is made. Section 914(g) of the Act requires the employer/carrier issue notification of final payment of compensation. These notifications are currently submitted on the LS-206 (Payment of Compensation Without Award) 20 C.F.R. 702.234 and the LS-208 (Notice of Final Payment or Suspension of Compensation Payments) 20 C.F.R. 702.235. A thorough review of the two forms reveals a duplication of information collected on both forms. The OWCP is planning to collect the information under one form, the LS-208 (Notice of Payments), thereby reducing the burden on the public and the government. The LS-208 is currently approved under 1240-0041 and form LS-206 is currently approved under 1240-0043. The new streamline version will collect all necessary information from both forms into one form under OMB No, 1240-0041. Form LS-206 (1240-0043) will be discontinued once the streamlined LS-208 is approved. The Industry Notice uploaded into ROCIS explains the changes in detail. The Industry Notice will also notify the public of the changes.


OWCP is combining two forms in order to streamline the collection. The following table shows how the burden is affected by creating one form for the respondents to utilize:



  • Although the burden for this non material request shows an increase in the burden hours of 2,100 hours, once OWCP form LS-206 is discontinued the end result will be a reduction of the total burden that was utilized by both forms. OWCP is estimating a total reduction of 3,150 burden hours. The creation of one form decreased the average burden by 5 minutes (from 15 minutes to 10 minutes) and therefore decreased the overall burden hours.


  • The costs for this non-material request shows an increase in the costs of $8,512 under this ICR. Once 1240-0043 is discontinued the postage cost to the respondent under A13 will be reduced overall from the current total of $17,100 to $16,112. The increased use of electronic submissions resulted in lower mailing costs for the new form.




Forms



OMB Control Number




No. of Respondents


No. of Responses per Respondent



Total Number of Responses

Avg. Burden per Response

(In hrs.)



Total Burden

Hours

Old Forms:

LS – 206

Payment of Compensation Without Award



1240-0043



600



28



16,800



15/60



4,200

LS - 208

Notice of Final Payment or

Suspension of Compensation

Benefits




1240-0041




600




35




21,000




15/60




5,250

Totals


600

63

37,800

15/60

9,450








Streamlined Form:







LS-208

Notice of Payments


1240-0041


600


63


37,800


10/60


6,300

Total:


600

63

37,800

10/60

6,300








Difference:

--

0

0

0

-5/60

-3,150


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorValdivieso, Jennifer - OWCP
File Modified0000-00-00
File Created2021-01-21

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