View Information Collection Request (ICR) Package
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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:
1240-0053
ICR Reference No:
202502-1240-002
Status:
Active
Previous ICR Reference No:
202111-1240-001
Agency/Subagency:
DOL/OWCP
Agency Tracking No:
Title:
Request for Electronic Service of Orders - Waiver of Certified Mail Requirement
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:
07/18/2025
Retrieve Notice of Action (NOA)
Date Received in OIRA:
06/10/2025
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
07/31/2028
36 Months From Approved
07/31/2025
Responses
58,732
0
9,240
Time Burden (Hours)
4,894
0
770
Cost Burden (Dollars)
330
0
0
Abstract:
The collections of information in the LS-801 and LS-802 forms waive the requirement for compensation orders to be delivered by certified mail.
Authorizing Statute(s):
US Code:
33 USC 919(e)
Name of Law: Longshore and Harbor Workers' Compensation Act
US Code:
33 USC 939(a)(1)
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:
90 FR 11555
03/07/2025
30-day Notice:
Federal Register Citation:
Citation Date:
90 FR 24415
06/10/2025
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Request for Electronic Service of Orders – Waiver of Certified Mail Requirement
LS-801, LS-802
Waiver of Service by Registered or Certified Mail for Employers and/or Insurance Carriers
,
Waiver of Service by Registered or Certified Mail for Claimants and Authorized Representatives
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
58,732
9,240
0
49,492
0
0
Annual Time Burden (Hours)
4,894
770
0
4,124
0
0
Annual Cost Burden (Dollars)
330
0
0
330
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
The increase in the number of respondents and costs was a change in the method of estimating respondents from the previous submission which was based on a percentage of an estimate of total orders. This collection uses the actual number of LS-801 and LS-802 forms received in the prior fiscal year (Fiscal Year 2024) and categorized as LS-801 and LS-802. It is a more accurate estimate. Previous costs to respondents were 0 and are now $330 due to an error in the last request to OMB. Costs were $330 in the last supporting statement as well. There are no other changes to the ICR.
Annual Cost to Federal Government:
$99,057
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.
Yes
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.
Yes
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
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
06/10/2025
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