View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Notice of Controversion of Right to Compensation
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 702.251

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction LS-207 https://www.dol.gov/sites/dolgov/files/owcp/dlhwc/ls-207.pdf Yes Yes Fillable Fileable

Income Security General Retirement and Disability

DOL/OWCP-3  58 FR 49599

550 0
   
Private Sector Businesses or other for-profits
 
   80 %

  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 19,250 0 0 1,250 0 18,000
Annual IC Time Burden (Hours) 4,813 0 0 313 0 4,500
Annual IC Cost Burden (Dollars) 2,118 0 1,822 0 0 296

Title Document Date Uploaded
DLHWC SEA Portal 09/24/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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