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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Securing Financial Obligations Under the Longshore and Harbor Workers' Compensation Act and its Extensions
Modified
651
437
322
Form
LS-276
Application for Security Deposit Determination
Form
LS-275(IC)
Agreement and Undertaking (Insurance Carrier)
Form
LS-275(SI)
Agreement and Undertaking (Self-Insured Employer)
Total burden requested under this ICR:
651
437
322
To view an IC, click on IC Title
An official website of the United States government
The .gov means it's official.
The site is secure.
