Administration of the Longshore and Harbor Workers' Compensation Act

OMB 1240-0014

OMB 1240-0014

The regulations and forms cover the submission of information relating to the processing of claims for benefits under the Longshore Act and extensions. A new form, LS-272 (Application to Write Insurance) is added to this collection.

The latest form for Administration of the Longshore and Harbor Workers' Compensation Act expires 2023-10-31 and can be found here.

Latest Forms, Documents, and Supporting Material
Document
Name
Supporting Statement A
All Historical Document Collections
Approved without change
 Revision of a currently approved collection 2023-09-25
No material or nonsubstantive change to a currently approved collection 2020-12-15
Approved without change
 Revision of a currently approved collection 2020-05-27
Approved without change
 No material or nonsubstantive change to a currently approved collection 2018-04-24
Approved without change
 Extension without change of a currently approved collection 2017-01-31
Approved without change
 No material or nonsubstantive change to a currently approved collection 2015-10-19
Approved without change
 Revision of a currently approved collection 2015-06-05
Preapproved
 No material or nonsubstantive change to a currently approved collection 2015-03-12
Approved without change
 No material or nonsubstantive change to a currently approved collection 2014-09-30
Approved without change
 No material or nonsubstantive change to a currently approved collection 2014-07-03
Approved without change
 Revision of a currently approved collection 2013-12-27
Approved without change
 Revision of a currently approved collection 2012-06-29
Approved without change
 Extension without change of a currently approved collection 2010-03-12
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