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

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

Documents and Forms

Document Name Document Type
Form LS-801 Request for Electronic Service of Orders – Waiver of Certified Mail Requirement Form and Instruction
LS-801 Waiver of Service by Registered or Certified Mail for Em ls-801.pdf www.dol.gov/sites/dolgov/files/owcp/dlhwc/ls-801.pdf Form and Instruction
LS-802 Waiver of Service by Registered or Certified Mail for Cl ls-802.pdf www.dol.gov/sites/dolgov/files/owcp/dlhwc/ls-802.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Request for Electronic Service of Orders – Waiver of Certified Mail Requirement	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 702.349

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	LS-801	Waiver of Service by Registered or Certified Mail for Employers and/or Insurance Carriers	ls-801.pdf	https://www.dol.gov/sites/dolgov/files/owcp/dlhwc/ls-801.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	LS-802	Waiver of Service by Registered or Certified Mail for Claimants and Authorized Representatives	ls-802.pdf	https://www.dol.gov/sites/dolgov/files/owcp/dlhwc/ls-802.pdf	Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title: DOL/OWCP-3	FR Citation: 81 FR 25765

Number of Respondents: 58,732	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	58,732	49,492	9,240
Annual IC Time Burden (Hours)	4,894	4,124	770
Annual IC Cost Burden (Dollars)	330	330	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.