OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Regulations Governing the Administration of the Longshore and Harbor Workers' Compensation Act

OMB 1215-0160 · DOL/ESA.

OMB 1215-0160

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form LS-200 proposed Report of EarningsForm
Form LS-274 proposed Report of Injury Experience of Insurance Carrier or Self-Insured EmployerForm
Form LS-204 proposed Attending Physician's Supplementary ReportForm
Form LS-271 proposed Application for Self-InsuranceForm
Form LS-262 proposed Claim for Death BenefitsForm
Form LS-203 proposed Employee's Claim for CompensationForm
Form LS-267 proposed Claimant's StatementForm
Form LS-513 proposed Report of PaymentsForm
Form LS-201 proposed Notice of Employee's Injury or DeathForm
WORKSHEET FOR OMB NO 1215-0160 May 1 2009.doc Supplementary Document
OMB - Supporting Statement for 1215-0160 May 1 2009.docSupporting Statement A
Regulations Governing the Administration of the Longshore and Harbor Workers' Compensation Act Form
Regulations Governing the Administration of the Longshore and Harbor Workers' Compensation Act Form
Regulations Governing the Administration of the Longshore and Harbor Workers' Compensation Act Form
Regulations Governing the Administration of the Longshore and Harbor Workers' Compensation Act Form
Regulations Governing the Administration of the Longshore and Harbor Workers' Compensation Act Other-Recordkeeping
Regulations Governing the Administration of the Longshore and Harbor Workers' Compensation Act Form
Regulations Governing the Administration of the Longshore and Harbor Workers' Compensation Act Form
Regulations Governing the Administration of the Longshore and Harbor Workers' Compensation Act Form
Regulations Governing the Administration of the Longshore and Harbor Workers' Compensation Act Form
Regulations Governing the Administration of the Longshore and Harbor Workers' Compensation Act Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
200901-1215-002 Extension without change of a currently approved collection 2009-05-18 Approved without change
200606-1215-001 Extension without change of a currently approved collection 2006-06-15 Approved without change
200309-1215-001 Extension without change of a currently approved collection 2003-09-26 Approved without change
200010-1215-003 Extension without change of a currently approved collection 2000-10-25 Approved without change
199710-1215-002 Extension without change of a currently approved collection 1997-10-23 Approved without change
199410-1215-001 Revision of a currently approved collection 1994-10-05 Approved without change
199112-1215-001 Revision of a currently approved collection 1991-12-04 Approved without change
198811-1215-006 Revision of a currently approved collection 1988-11-30 Approved without change
198605-1215-011 No material or nonsubstantive change to a currently approved collection 1986-05-15 Approved with change
198512-1215-001 Revision of a currently approved collection 1985-12-27 Approved without change
198508-1215-002 No material or nonsubstantive change to a currently approved collection 1985-08-13 Approved with change
198503-1215-005 No material or nonsubstantive change to a currently approved collection 1985-03-25 Approved with change
198412-1215-001 New collection (Request for a new OMB Control Number) 1984-12-24 Approved without change