PRA IC List
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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
705
881
409
Form and Instruction
LS-276
Application for Security Deposit Determination
Form
LS-275 (SI)
Agreement and Undertaking (Self-Insured Employer)
Form
LS-275 (IC)
Agreement and Undertaking (Insurance Carrier)
Total burden requested under this ICR:
705
881
409
To view an IC, click on IC Title
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