View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 1240-0036	ICR Reference No: 201412-1240-010
Status: Historical Inactive	Previous ICR Reference No: 201409-1240-006
Agency/Subagency: DOL/OWCP	Agency Tracking No:
Title: Longshore and Harbor Workers' Compensation Act Pre-Hearing Statement
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Preapproved	Conclusion Date: 05/15/2015
	Date Received in OIRA: 03/12/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2017	08/31/2017	08/31/2017
Responses	3,100	0	3,100
Time Burden (Hours)	527	0	527
Cost Burden (Dollars)	1,402	0	1,612

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	3,100	3,100	0
Annual Time Burden (Hours)	527	527	0
Annual Cost Burden (Dollars)	1,402	1,612	-210

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There is a decrease of 357 burden hours since the last clearance submission due to a decrease in reporting under the Act. There has been a change in the operation and maintenance cost from $2,444 to $1,512 (-832) due to a decrease in reporting under the Act.

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