View Information Collection (IC)
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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Notice of Controversion of Right to Compensation
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
20 CFR 702.251
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
LS-207
Notice of Controversion of Right to Compensation
ls-207.pdf
http://www.dol.gov/owcp/dlhwc/ls-207.pdf
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
General Retirement and Disability
Privacy Act System of Records
Title:
DOL/ESA-15
FR Citation:
58 FR 49599
Number of Respondents:
700
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
17,500
0
0
0
0
17,500
Annual IC Time Burden (Hours)
4,375
0
0
0
0
4,375
Annual IC Cost Burden (Dollars)
9,013
0
0
0
0
9,013
Documents for IC
Title
Document
Date Uploaded
DLHWC SEA Portal
DLHWC Seaportal.pdf
09/24/2014
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.