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OMB Control No: 1240-0036	ICR Reference No: 202311-1240-002
Status: Active	Previous ICR Reference No: 202005-1240-004
Agency/Subagency: DOL/OWCP	Agency Tracking No:
Title: Longshore and Harbor Workers' Compensation Act Pre-Hearing Statement
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/16/2024
	Date Received in OIRA: 12/14/2023
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2027	36 Months From Approved	01/31/2024
Responses	8,422	0	3,800
Time Burden (Hours)	1,432	0	646
Cost Burden (Dollars)	0	0	1,102

Abstract: Form LS-18 is used to refer cases to the Office of Administrative Law Judges for formal hearing under the Longshore and Harbor Workers' Compensation Act.

Authorizing Statute(s): US Code: 33 USC 939(a) Name of Law: Longshore and Harbor Workers' Compensation Act

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 60712	09/05/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 86679	12/14/2023
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Pre-Hearing Statement	LS-18

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	8,422	3,800	4,622
Annual Time Burden (Hours)	1,432	646	786
Annual Cost Burden (Dollars)	0	1,102	-1,102

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 an increase of 785.74 burden hours and $20,218.48 burden cost since the last clearance submission due to an increase in the average number of forms received over the last 3 years which coincides with the increase in number of claims for injury received in general over the last 3 years. Over the last 3 years, the average number of referrals to the OALJ increased from 3,800 to 8,422. The annualized burden cost for mailing is reduced to zero as the submissions may be made electronically via the SEAPortal. The number of respondents increased from 3,800 to 8,422 due to the increase in average number of forms received over the last 3 years which coincides with the increase in number of claims for injury received in general over the last 3 years. There was an increase of $21,723.72 in the cost to the government since the last clearance submission due to an increase in the average number of forms received over the last 3 years which coincides with the increase in number of claims received in general over the last 3 years. Over the last 3 years, the average number of referrals to the OALJ increased from 3,800 to 8,422.

Annual Cost to Federal Government: $30,305

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Jamie Margherio 713 651-4658 margherio.jamie@dol.gov

View ICR - OIRA Conclusion