Information Collection

OWCP Longshore Voluntary Demographic Information

IC 253908 under ICR 202507-1225-002 · OMB 1225-0093.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
OWCP Longshore Voluntary Demographic Information	Form and Instruction
Longshore ECOMP-Instrument (1st Survey) OWCP Longshore Voluntary Demographic Information	Form and Instruction
Longshore ECOMP-Instrument (1st Survey) Longshore ECOMP-Instrument (1st Survey).docx	Form and Instruction
Longshore ECOMP-Instrument (1st Survey) Longshore ECOMP-Instrument (1st Survey).docx	Form and Instruction
1225-0093 - Supporting Statement 5-25-22.docx Supporting Statement - A11 Section 280 Clearance - Longshore ECO Survey	IC Document
1225-0093 - Supporting Statement 5-25-22.docx Supporting Statement - A11 Section 280 Clearance - Longshore ECO Survey	IC Document

IC Title:

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

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	NA				Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,620

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	1,620	1,620
Annual IC Time Burden (Hours)	135	135
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement - A11 Section 280 Clearance - Longshore ECO Survey		05/26/2022

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

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