Information Collection

Request for Electronic Service of Orders – Waiver of Certified Mail Requirement

IC 214968 under ICR 202502-1240-002 · OMB 1240-0053.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form LS-801 Request for Electronic Service of Orders – Waiver of Certified Mail Requirement	Form and Instruction
Form LS-801 Waiver of Service by Registered or Certified Mail for Employers and/or Insurance Carriers Request for Electronic Service of Orders – Waiver of Certified Mail Requirement	Form and Instruction
Form LS-802 Waiver of Service by Registered or Certified Mail for Claimants and Authorized Representatives Request for Electronic Service of Orders – Waiver of Certified Mail Requirement	Form and Instruction
LS-801 Waiver of Service by Registered or Certified Mail for Em ls-801.pdf www.dol.gov/sites/dolgov/files/owcp/dlhwc/ls-801.pdf	Form and Instruction
LS-801 Waiver of Service by Registered or Certified Mail for Em ls-801.pdf www.dol.gov/sites/dolgov/files/owcp/dlhwc/ls-801.pdf	Form and Instruction
LS-802 Waiver of Service by Registered or Certified Mail for Cl ls-802.pdf www.dol.gov/sites/dolgov/files/owcp/dlhwc/ls-802.pdf	Form and Instruction
LS-802 Waiver of Service by Registered or Certified Mail for Cl ls-802.pdf www.dol.gov/sites/dolgov/files/owcp/dlhwc/ls-802.pdf	Form and Instruction

IC Title:

Request for Electronic Service of Orders â Waiver of Certified Mail Requirement

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 702.349

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 and Instruction	LS-801			https://www.dol.gov/sites/dolgov/files/owcp/dlhwc/ls-801.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	LS-802			https://www.dol.gov/sites/dolgov/files/owcp/dlhwc/ls-802.pdf	Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title: DOL/OWCP-3

FR Citation: 81 FR 25765

Number of Respondents: 58,732

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	58,732	49,492	9,240
Annual IC Time Burden (Hours)	4,894	4,124	770
Annual IC Cost Burden (Dollars)	330	330	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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