[Federal Register Volume 85, Number 39 (Thursday, February 27, 2020)]
[Notices]
[Pages 11397-11399]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-03910]


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DEPARTMENT OF LABOR

Office of Workers' Compensation Programs


Proposed Extension of Existing Collection; Comment Request; 
Administration of the Longshore and Harbor Workers' Compensation Act

AGENCY: Division of Longshore and Harbor Worker's Compensation, Office 
of Workers' Compensation Program, Department of Labor.

ACTION: Notice.

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SUMMARY: The Department of Labor (DOL) is soliciting comments 
concerning a proposed extension for the authority to conduct the 
information collection request (ICR) titled, ``Administration of the 
Longshore and

[[Page 11398]]

Harbor Workers' Compensation Act.'' This comment request is part of 
continuing Departmental efforts to reduce paperwork and respondent 
burden in accordance with the Paperwork Reduction Act of 1995 (PRA).

DATES: Consideration will be given to all written comments received by 
April 27, 2020. Please note that this collection contains the request 
for approval of one additional form, LS-272--Application to Write 
Longshore Insurance.

ADDRESSES: A copy of this ICR with applicable supporting documentation; 
including a description of the likely respondents, proposed frequency 
of response, and estimated total burden may be obtained for free by 
contacting Anjanette Suggs by telephone at 202-354-9660 or by email at 
[email protected].
    Submit written comments about this ICR by mail or courier to the 
U.S. Department of Labor, Office of Workers' Compensation Programs, 
Room S3323, 200 Constitution Avenue NW, Washington, DC 20210; or by 
email at [email protected]. Please note that comments submitted 
after the comment period will not be considered.

FOR FURTHER INFORMATION CONTACT: Anjanette Suggs by telephone at 202-
354-9660 or by email at [email protected].

SUPPLEMENTARY INFORMATION: The DOL, as part of continuing efforts to 
reduce paperwork and respondent burden, conducts a pre-clearance 
consultation program to provide the general public and Federal agencies 
an opportunity to comment on proposed and/or continuing collections of 
information before submitting them to the OMB for final approval. This 
program helps to ensure requested data can be provided in the desired 
format, reporting burden (time and financial resources) is minimized, 
collection instruments are clearly understood, and the impact of 
collection requirements can be properly assessed.
    The Office of Workers' Compensation Programs (OWCP) administers the 
Longshore and Harbor Workers' Compensation Act (LHWCA). LHWCA provides 
benefits to workers injured in maritime employment on the navigable 
waters of the United States or in an adjoining area customarily used by 
an employer in loading, unloading, repairing, or building a vessel. In 
addition, several Acts extend the Longshore Act's coverage to certain 
other employees.
    The Secretary of Labor has authority to make rules and regulations 
to establish procedures which are necessary or appropriate to carry out 
the provisions of the Act. 33 U.S.C. 939, 944. The Secretary has 
delegated that authority to the Director, Office of Workers' 
Compensation Programs. Secretary's Order 10-2009; Public Law 111-5 
Sec.  803, 123 Stat. 115, 187 (2009).
    A claimant's social security number may be requested pursuant to 
Public Law 103-112 and the regulations at 20 CFR 702.202 and 702.221. 
This information collection is subject to the PRA. A Federal agency 
generally cannot conduct or sponsor a collection of information, and 
the public is generally not required to respond to an information 
collection, unless the OMB under the PRA approves it and displays a 
currently valid OMB Control Number. In addition, notwithstanding any 
other provisions of law, no person shall generally be subject to 
penalty for failing to comply with a collection of information that 
does not display a valid Control Number. See 5 CFR 1320.5(a) and 
1320.6.
    Interested parties are encouraged to provide comments to the 
contact shown in the ADDRESSES section. Written comments will receive 
consideration, and summarized and included in the request for OMB 
approval of the final ICR. In order to help ensure appropriate 
consideration, comments should mention OMB No. 1240-0014.
    Submitted comments will also be a matter of public record for this 
ICR and posted on the internet, without redaction. The DOL encourages 
commenters not to include personally identifiable information, 
confidential business data, or other sensitive statements/information 
in any comments.
    The DOL is particularly interested in comments that:
     Evaluate whether the proposed collection of information is 
necessary for the proper performance of the functions of the agency, 
including whether the information will have practical utility.
     Evaluate the accuracy of the agency's estimate of the 
burden of the proposed collection of information, including the 
validity of the methodology and assumptions used.
     Enhance the quality, utility, and clarity of the 
information to be collected; and
     Minimize the burden of the collection of information on 
those who are to respond, including through the use of appropriate 
automated, electronic, mechanical, or other technological collection 
techniques or other forms of information technology, e.g., permitting 
electronic submission of responses.
    Agency: DOL--Office of Workers' Compensation Programs.
    Type of Review: Revision.
    Title of Collection: Regulations governing the administration of 
the Longshore and Harbor Workers' Compensation Act.
    Form:

LS-200 (20 CFR 702.285)
20 CFR 702.162 (Liens)
20 CFR 702.174 (Certifications)
20 CFR 702.175 (Reinstatements)
20 CFR 702.242 (Settlement Applications)
20 CFR 702.321 (Section 8(f) Payments)
ESA-100 (20 CFR 702.201)
LS-271 (Application for Self-Insurance)
LS-272 (Application to Write Longshore Insurance)
LS-274 (Report of Injury Experience of Insurance Carrier or Self-
Insured Employer)
LS-201 (Notice of Employee's Injury or Death)
LS-513 (Report of Payments)
LS-267 (Claimant's Statement)
LS-203 (Employee's Claim for Compensation)
LS-204 (Attending Physician's Supplementary Report)
LS-262 (Claim for Death Benefits)

    OMB Control Number: 1240-0014.
    Affected Public: Private Sector.
    Estimated Number of Respondents: 53,842.
    Frequency: On occasion.
    Total Estimated Annual Responses: 53,842.
    Estimated Average Time per Response: 1.11 hours.
    Estimated Total Annual Burden Hours:

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                    Burden summary                            Hours
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LS-200 (20 CFR 702.285)..............................                349
20 CFR 702.162 (Liens)...............................                  5
20 CFR 702.174 (Certifications)......................                  4
20 CFR 702.175 (Reinstatements)......................                  1
20 CFR 702.242 (Settlement Applications..............              4,080
20 CFR 702.321 (Section 8(f) Payments)...............              2,900

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ESA-100 (20 SFR 702.201).............................                840
LS-271 (Self Insurance Application)..................                 27
LS-272 (Application to write Longshore Insurance)....                 30
LS-274 (Injury Report of Insurance Carrier and Self-                 552
 Insured Employer)...................................
LS-201 (Injury or Death Notice)......................                250
LS-513 (Payment Report)..............................                271
LS-267 (Claimant's Statement)........................                 25
LS-203 (Employee Comp. Claim)........................              1,148
LS-204 (Medical Report)..............................             10,200
LS-262 (Claim for Death Benefits)....................                 70
                                                      ------------------
    Total Burden Hours...............................             20,752
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    Total Estimated Annual Other Cost Burden: $9,524.76.

    (Authority: 44 U.S.C. 3506(c)(2)(A))

Anjanette Suggs,
Agency Clearance Officer.
[FR Doc. 2020-03910 Filed 2-26-20; 8:45 am]
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