Administration of the Longshore and Harbor Workers' Compensation Act

ICR 202001-1240-002

OMB: 1240-0014

Federal Form Document

ICR Details
1240-0014 202001-1240-002
Active 201803-1240-005
DOL/OWCP
Administration of the Longshore and Harbor Workers' Compensation Act
Revision of a currently approved collection   No
Regular
Approved without change 10/26/2020
Retrieve Notice of Action (NOA) 05/27/2020
  Inventory as of this Action Requested Previously Approved
10/31/2023 36 Months From Approved 10/31/2020
53,842 0 90,759
20,752 0 32,971
9,525 0 26,203

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
  
None

Not associated with rulemaking

  85 FR 11397 02/27/2020
85 FR 31228 05/22/2020
No

  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 53,842 90,759 0 -36,917 0 0
Annual Time Burden (Hours) 20,752 32,971 0 -12,219 0 0
Annual Cost Burden (Dollars) 9,525 26,203 0 -16,678 0 0
No
Yes
Using Information Technology
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.
05/27/2020


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