Request for Intervention, Longshore and Harbor Workers' Compensation Act

ICR 202210-1240-001

OMB: 1240-0058

Federal Form Document

Forms and Documents

Document Name	Status
Form LS-4 Request for Intervention, Longshore and Harbor Workers' Compensation Act Form and Instruction	Modified
1240-0058 Supporting Statement_1-26-23_CLEAN.docx Supporting Statement A	2023-01-26

IC Document Collections

IC ID	Document Title	Status
237986	Request for Intervention, Longshore and Harbor Workers' Compensation Act Form and Instruction	Modified