OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Notice of Payments

IC 13642 under ICR 202406-1240-002 · OMB 1240-0041.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form LS-208
Notice of Payments		 Form
Form LS-208
Notice of Payments Notice of Payments		 Form
LS-208 Notice of Payments
LS-208 2024.pdf
www.dol.gov/sites/dolgov/files/owcp/dlhwc/ls-208.pdf 		Form
LS-208 Notice of Payments
LS-208 2024.pdf
www.dol.gov/sites/dolgov/files/owcp/dlhwc/ls-208.pdf 		Form
DLHWC Seaportal.pdf
DLHWC SEA Portal		IC Document
DLHWC Seaportal.pdf
DLHWC SEA Portal		IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form LS-208 https://www.dol.gov/sites/dolgov/files/owcp/dlhwc/ls-208.pdf Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 32,016 0 0 -984 0 33,000
Annual IC Time Burden (Hours) 5,336 0 0 -164 0 5,500
Annual IC Cost Burden (Dollars) 1,440 0 0 -2,190 0 3,630

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
DLHWC SEA Portal 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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