The LS-206 is used by insurance
carriers and self-insurers to report the initial payment of
compensation benefits to injured claimants as required by the
Longshore and Harbor Workers' Compensation Act.
US Code:
33
USC 914(c) Name of Law: Longshore and Harbor Workers'
Compensation Act
There has been an adjustment to
the burden hours for this clearance. The burden hours has been
reduced from 6,125 hours to 5,250 hours which is a reduction of
-875 hours. The operation and maintenance costs have been reduced
by -$605.00 (from $11,000 to $10,395.00). The reduction in burden
hours is the result of reduced reporting under the Act due to a
decrease in the number of authorized carriers and self-insurers
(from 700 to 600, each of whom will submit an average of 35
responses) for an estimate of 21,000 responses. The change in
operation and maintenance costs is reduced due to decrease in the
number of responses received since the last clearance.
$54,650
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Cheryl Jordan 202 693-0289
jordan.cheryl@dol.gov
No
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.