Notice of Controversion of Right to Compensation

Notice of Controversion of Right to Compensation

OMB: 1240-0042

IC ID: 13638

Information Collection (IC) Details

View Information Collection (IC)

Notice of Controversion of Right to Compensation
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 702.251

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form LS-207 Notice of Controversion of Right to Compensation ls-207 proposed.pdf http://www.dol.gov/owcp/dlhwc/ls-207.pdf Yes Yes Fillable Fileable

Income Security General Retirement and Disability

DOL/ESA-15  58 FR 49599

600 0
   
Private Sector Businesses or other for-profits
 
   0 %

  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 18,000 0 0 0 0 18,000
Annual IC Time Burden (Hours) 4,500 0 0 0 0 4,500
Annual IC Cost Burden (Dollars) 8,300 0 0 188 0 8,112

Title Document Date Uploaded
DLHWC SEA Portal DLHWC Seaportal.pdf 09/24/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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