Request for Electronic Service of Orders - Waiver of Certified Mail Requirement

Forms and Documents

Document Name	Status
Form ls-801 Request for Electronic Service of Orders – Waiver of Certified Mail Requirement Form	New
Emergency PRA Clearance Memo from OWCP Director Howie (2-12-2015).pdf Supplementary Document	2015-03-06
Supporting Statement (1240-XXXX LS801-802).docx Supporting Statement A	2015-03-12

IC Document Collections

IC ID	Document Title	Status
214968	Request for Electronic Service of Orders – Waiver of Certified Mail Requirement Form	New

ICR Details

OMB Control No: 1240-0053	ICR Reference No: 201411-1240-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOL/OWCP	Agency Tracking No:
Title: Request for Electronic Service of Orders - Waiver of Certified Mail Requirement
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 03/19/2015
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/29/2015
	Date Received in OIRA: 03/12/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2015	6 Months From Approved
Responses	14,000	0	0
Time Burden (Hours)	770	0	0
Cost Burden (Dollars)	13,252	0	0

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Abstract: These forms waive the requirement for orders to be delivered by certified mail.

Emergency Justfication: Emergency Justification: In accordance with 5 CFR 1320.13, emergency processing of this collection is requested and is essential to the mission of the agency. OWCP is promulgating a direct final rule (DFR) that, inter alia, would allow parties to waive their statutory right to receive compensation orders by registered or certified mail and instead to receive them by email. The waiver procedures outlined in the DFR are completely voluntary but, if invoked, require a new information collection request (ICR) for OWCP Form LS-801, Waiver of Service by Registered or Certified Mail for Claimants and Authorized Representatives, and OWCP Form LS-802, Waiver of Service by Registered or Certified Mail for Employers and/or Insurance Carriers. These waiver forms were created after consultation with OWCP stakeholders and members of the public, were designed to minimize the information collection burden, and only request submission of the injured worker’s name, the OWCP-assigned claim number, the submitter’s name, and the submitter’s email address. Since the DFR will take effect 90 days after its publication normal Paperwork Reduction Act clearance procedures for the ICR would be precluded since there would be no initial opportunity for public comments. Normal clearance procedures would delay implementation of the DFR and the ability of parties to a LHWCA claim to avail themselves of the waiver process. Information collection would also be disrupted because OWCP would have a rule allowing the collection with no mechanism to do so. OWCP therefore requests that an immediate review and authorization of this collection be approved for 180 days to implement the provisions outlined in the DFR. The agency will subsequently follow up with normal processing procedures to allow for the routine three year extension of this collection.

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Authorizing Statute(s): US Code: 33 USC 919(e) Name of Law: Longshore and Harbor Workers' Compensation Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
1240-AA09	Final or interim final rulemaking	80 FR 12917	03/12/2015

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Request for Electronic Service of Orders – Waiver of Certified Mail Requirement	LS-802, ls-801	Waiver of Service by Registered or Certified Mail for Employers and/or Insurance Carriers ,   Waiver of Service by Registered or Certified Mail for Claimants and Authorized Representatives

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	14,000	0	0	0	14,000	0
Annual Time Burden (Hours)	770	0	0	0	770	0
Annual Cost Burden (Dollars)	13,252	0	0	0	13,252	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: These are new forms. Use of the Forms allows parties to receive compensation orders by email, increasing delivery speed and potentially preventing employers/carriers from incurring obligations to pay additional compensation due to untimely timely payments.

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Annual Cost to Federal Government: $6,554

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 03/12/2015

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