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.
US Code:
33
USC 944 Name of Law: Longshore and Harbor Workers' Compensation
A
US Code: 33
USC 939 Name of Law: Longshore and Harbor Workers' Compensation
A
The burden for this collection
has decreased by 12,219 due to a decrease in forms received and
accessibility to electronic submission. This burden includes 30
hours burden for a new form, the LS-272, which has been added to
this collection. Additionally, the final rule published 8/18/2015
(80 FR 12917) broadened the acceptable methods by which claimants,
employers, and insurers can communicate with OWCP. Instead of
mandating the transmission of information by postal mail, the rule
allows OWCP and private parties to use electronic and other
commonly used communication methods. It also provided flexibility
for OWCP to allow submission of information using future
technologies.
$183,923
No
Yes
Yes
No
No
No
No
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.