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 686 472 343 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: 686 472 343  
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