OMB control number
Notice of Controversion of Right to Compensation
OMB 1240-0042 ยท DOL/OWCP.
OMB 1240-0042
Form LS-207 is used by insurance carriers and self-insured employers to controvert claims under the Longshore Act and extensions.
The latest form for Notice of Controversion of Right to Compensation expires 2027-08-31 and is listed under ICR 202406-1240-003.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form LS-207 Notice of Controversion of Right to Compensation | Form |
 LS207SupportingStatementJune2024_MN3_CLEAN.docx | Supporting Statement A |
 5 USC 914(d).doc | Supplementary Document |
| 20 CFR 702.251.doc | Supplementary Document |
 Notice of Controversion of Right to Compensation |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202406-1240-003 | Extension without change of a currently approved collection | 2024-07-24 | ||
| 202105-1240-002 | Revision of a currently approved collection | 2021-07-01 | Approved without change | |
| 202008-1240-055 | No material or nonsubstantive change to a currently approved collection | 2020-12-15 | ||
| 201803-1240-002 | Revision of a currently approved collection | 2018-06-01 | Approved without change | |
| 201411-1240-001 | Revision of a currently approved collection | 2015-02-27 | Approved without change | |
| 201409-1240-008 | No material or nonsubstantive change to a currently approved collection | 2014-09-30 | Approved without change | |
| 201109-1240-003 | Revision of a currently approved collection | 2011-12-30 | Approved without change | |
| 201003-1240-042 | Extension without change of a currently approved collection | 2010-03-12 | Approved without change |