Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Request for Examination and/or Treatment (Employee Burden)
Modified
45000
41250
0
Form
LS-1
Request for Examination and/or Treatment
Request for Examination and/or Treatment (Employer Burden)
Modified
45000
7500
1484816
Form
LS-1
Request for Examination and/or Treatment
Total burden requested under this ICR:
90000
48750
1484816
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.
