Proposed Extension of Existing Collection; Comment Request; Administration of the Longshore and Harbor Workers' Compensation Act, 11397-11399 [2020-03910]
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Federal Register / Vol. 85, No. 39 / Thursday, February 27, 2020 / Notices
activities. The notifications were filed
for the purpose of extending the Act’s
provisions limiting the recovery of
antitrust plaintiffs to actual damages
under specified circumstances.
Specifically, 30 new standards have
been initiated and 18 existing standards
are being revised. More detail regarding
these changes can be found at: https://
standards.ieee.org/about/sasb/sba/
sept2019.html.
On February 8, 2015, the IEEE Board
of Directors approved an update of the
IEEE patent policy for standards
development, which became effective
on 15 March 2015. The updated policy
is available at https://standards.ieee.org/
develop/policies/bylaws/approvedchanges.pdf and, from the effective date,
will be available at https://
standards.ieee.org/develop/policies/
bylaws/sect6-7.html.
On September 17, 2004, IEEE filed its
original notification pursuant to Section
6(a) of the Act. The Department of
Justice published a notice in the Federal
Register pursuant to Section 6(b) of the
Act on November 3, 2004 (69 FR 64105).
The last notification was filed with
the Department on September 10, 2019.
A notice was published in the Federal
Register pursuant to Section 6(b) of the
Act on October 30, 2019 (84 FR 58172).
Suzanne Morris,
Chief, Premerger and Division Statistics,
Antitrust Division.
Cancer Research, Sutton, UNITED
KINGDOM; Glyn Williams (individual
member), Guildford, UNITED
KINGDOM; CSL Behring, Parkville,
AUSTRALIA; and John Conway
(individual member), Hereford, PA have
been added as parties to this venture.
Also, grit42, Copenhagen, DENMARK
has withdrawn as a party to this
venture.
No other changes have been made in
either the membership or planned
activity of the group research project.
Membership in this group research
project remains open, and Pistoia
Alliance, Inc. intends to file additional
written notifications disclosing all
changes in membership.
On May 28, 2009, Pistoia Alliance,
Inc. filed its original notification
pursuant to Section 6(a) of the Act. The
Department of Justice published a notice
in the Federal Register pursuant to
Section 6(b) of the Act on July 15, 2009
(74 FR 34364).
The last notification was filed with
the Department on November 29, 2019.
A notice was published in the Federal
Register pursuant to Section 6(b) of the
Act on January 9, 2020 (85 FR 1183).
Suzanne Morris,
Chief, Premerger and Division Statistics Unit,
Antitrust Division.
[FR Doc. 2020–03973 Filed 2–26–20; 8:45 am]
BILLING CODE 4410–11–P
[FR Doc. 2020–03978 Filed 2–26–20; 8:45 am]
DEPARTMENT OF JUSTICE
BILLING CODE 4410–11–P
Antitrust Division
DEPARTMENT OF JUSTICE
Antitrust Division
lotter on DSKBCFDHB2PROD with NOTICES
Notice Pursuant to the National
Cooperative Research and Production
Act of 1993—Pistoia Alliance, Inc.
Notice is hereby given that, on
February 6, 2020, pursuant to Section
6(a) of the National Cooperative
Research and Production Act of 1993,
15 U.S.C. Section 4301 seq. (the ‘‘Act’’),
Pistoia Alliance, Inc. filed written
notifications simultaneously with the
Attorney General and the Federal Trade
Commission disclosing changes in its
membership. The notifications were
filed for the purpose of extending the
Act’s provisions limiting the recovery of
antitrust plaintiffs to actual damages
under specified circumstances.
Specifically, Molecule One sp.z 0.0.,
Warszawa, POLAND; Innoplexus AG,
Eschborn, GERMANY; Tom Flores
(individual member), Cambridgeshire,
UNITED KINGDOM; Vyasa Analytics,
Newburyport, MA; Ataxia UK, London,
UNITED KINGDOM; The Institute of
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Notice Pursuant to the National
Cooperative Research and Production
Act of 1993—Undersea Technology
Innovation Consortium
11397
Systima Technologies, Inc., Kirkland,
WA; Triumph Enterprises, Inc., Vienna,
VA; University of South Carolina
(U.S.C.), Columbia, SC; W R Systems,
Ltd., Fairfax, VA; and Xilectric Inc., Fall
River, MA have been added as parties to
this venture.
Also, Cydecor, Inc., Arlington, VA;
Global Foundation for Ocean
Exploration, West Redding, CT; GLX
Power Systems Inc., Cleveland, OH;
Linden Photonics Inc., Westford, MA;
MACSEA Ltd., Stonington, CT;
Northeastern University, Burlington,
MA; Prescient Edge Corporation,
McLean, VA; Psionic, LLC, Hampton,
VA; QuickFlex Inc., San Antonio, TX;
TDI Technologies, Inc., King of Prussia,
PA; and Tethers Unlimited, Inc.,
Bothell, WA have withdrawn as parties
from this venture.
No other changes have been made in
either the membership or planned
activity of the group research project.
Membership in this group research
project remains open, and UTIC intends
to file additional written notifications
disclosing all changes in membership.
On October 9, 2018, UTIC filed its
original notification pursuant to Section
6(a) of the Act. The Department of
Justice published a notice in the Federal
Register pursuant to Section 6(b) of the
Act on November 2, 2018 (83 FR 55203).
The last notification was filed with
the Department on October 15, 2019. A
notice was published in the Federal
Register pursuant to Section 6(b) of the
Act on November 12, 2019 (84 FR
61070).
Suzanne Morris,
Chief, Premerger and Division Statistics,
Antitrust Division.
[FR Doc. 2020–04014 Filed 2–26–20; 8:45 am]
BILLING CODE 4410–11–P
Notice is hereby given that, on
January 21, 2020, pursuant to Section
6(a) of the National Cooperative
Research and Production Act of 1993,
15 U.S.C. 4301 et seq. (‘‘the Act’’),
Undersea Technology Innovation
Consortium (‘‘UTIC’’) has filed written
notifications simultaneously with the
Attorney General and the Federal Trade
Commission disclosing changes in its
membership. The notifications were
filed for the purpose of extending the
Act’s provisions limiting the recovery of
antitrust plaintiffs to actual damages
under specified circumstances.
Specifically, AVL Powertrain
Engineering, Inc., Plymouth, MI; CAMX
Power LLC, Lexington, MA; EmbryRiddle Aeronautical University,
Daytona Beach, FL; Graphene
Composites USA, Inc., Providence, RI; I
Square Systems, LLC, Middletown, RI;
Klein Marine Systems, Inc., Salem, NH;
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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
Division of Longshore and
Harbor Worker’s Compensation, Office
of Workers’ Compensation Program,
Department of Labor.
ACTION: Notice.
AGENCY:
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
SUMMARY:
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Federal Register / Vol. 85, No. 39 / Thursday, February 27, 2020 / Notices
lotter on DSKBCFDHB2PROD with NOTICES
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
suggs.anjanette@dol.gov.
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
suggs.anjanette@dol.gov. 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
suggs.anjanette@dol.gov.
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 § 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:
Burden summary
Hours
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) .....................................................................................................................................
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5
4
1
4,080
2,900
Federal Register / Vol. 85, No. 39 / Thursday, February 27, 2020 / Notices
Burden summary
Hours
ESA–100 (20 SFR 702.201) ..........................................................................................................................................................
LS–271 (Self Insurance Application) .............................................................................................................................................
LS–272 (Application to write Longshore Insurance) .....................................................................................................................
LS–274 (Injury Report of Insurance Carrier and Self-Insured Employer) .....................................................................................
LS–201 (Injury or Death Notice) ....................................................................................................................................................
LS–513 (Payment Report) .............................................................................................................................................................
LS–267 (Claimant’s Statement) .....................................................................................................................................................
LS–203 (Employee Comp. Claim) .................................................................................................................................................
LS–204 (Medical Report) ...............................................................................................................................................................
LS–262 (Claim for Death Benefits) ...............................................................................................................................................
840
27
30
552
250
271
25
1,148
10,200
70
Total Burden Hours ................................................................................................................................................................
20,752
Total Estimated Annual Other Cost
Burden: $9,524.76.
NATIONAL TRANSPORTATION
SAFETY BOARD
(Authority: 44 U.S.C. 3506(c)(2)(A))
Sunshine Act Meeting
Anjanette Suggs,
Agency Clearance Officer.
The National Transportation Safety
Board is holding this meeting under the
Government in the Sunshine Act, 5
U.S.C. 552(b).
[FR Doc. 2020–03910 Filed 2–26–20; 8:45 am]
BILLING CODE P
FEDERAL REGISTER CITATION OF PREVIOUS
ANNOUNCEMENT: 85 FR 7610 (February
10, 2020).
NATIONAL AERONAUTICS AND
SPACE ADMINISTRATION
PREVIOUSLY ANNOUNCED TIME AND DATE OF
THE MEETING: 9:30 a.m., Tuesday,
[Notice: (20–019)]
CHANGES TO THE MEETING (TIME):
February 25, 2020.
1:00
p.m., Tuesday, February 25, 2020.
NASA Advisory Council; Human
Explorations and Operations
Committee; Meeting
CONTACT PERSON FOR MORE INFORMATION:
Candi Bing at (202) 314–6403 or by
email at bingc@ntsb.gov.
Dated: Thursday, February 24, 2020.
LaSean R McCray,
Alternate Federal Register Liaison Officer.
National Aeronautics and
Space Administration
AGENCY:
Notice of meeting
postponement.
ACTION:
[FR Doc. 2020–04070 Filed 2–25–20; 11:15 am]
BILLING CODE 7533–01–P
In accordance with the
Federal Advisory Committee Act, the
National Aeronautics and Space
Administration (NASA) announces that
the planned meeting on March 3–4,
2020, of the Human Exploration and
Operations Committee of the NASA
Advisory Council (NAC) is being
postponed until further notice.
SUMMARY:
This
meeting was announced in the Federal
Register on February 14, 2020 (REF:
Federal Register/Vol. 85, No. 31/Friday,
February 14, 2020/Notices; page 8613).
The postponement of this meeting is
due to NASA programmatic priorities
and scheduling conflicts. NASA will
announce the new dates for this meeting
in a future Federal Register notice.
SUPPLEMENTARY INFORMATION:
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11399
Patricia Rausch,
Advisory Committee Management Officer,
National Aeronautics and Space
Administration.
[FR Doc. 2020–04025 Filed 2–26–20; 8:45 am]
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OFFICE OF PERSONNEL
MANAGEMENT
Submission for Review: 3206–0141,
Health Benefits Election Form, OPM
2809
Office of Personnel
Management.
ACTION: 30-Day notice and request for
comments.
AGENCY:
The Healthcare & Insurance/
Federal Employee Insurance Operations
(FEIO) offers the general public and
other federal agencies the opportunity to
comment on a revised information
collection request OPM 2809, Health
Benefits Election Form.
DATES: Comments are encouraged and
will be accepted until March 30, 2020.
ADDRESSES: Interested persons are
invited to submit written comments on
the proposed information collection to
the Office of Information and Regulatory
Affairs, Office of Management and
SUMMARY:
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Budget, 725 17th Street NW,
Washington, DC 20503, Attention: Desk
Officer for the Office of Personnel
Management or sent via electronic mail
to: oira_submission@omb.eop.gov or
faxed to (202) 395–6974.
FOR FURTHER INFORMATION CONTACT: A
copy of this information collection, with
applicable supporting documentation,
may be obtained by contacting the
Retirement Services Publications Team,
Office of Personnel Management, 1900 E
Street NW, Room 3316–L, Washington,
DC 20415, Attention: Cyrus S. Benson,
or sent via electronic mail to
Cyrus.Benson@opm.gov or faxed to
(202) 606–0910 or via telephone at (202)
606–4808.
SUPPLEMENTARY INFORMATION: As
required by the Paperwork Reduction
Act of 1995 OPM is soliciting comments
for this collection. The information
collection (OMB No. 3206–0141) was
previously published in the Federal
Register on August 20, 2019 at 84 FR
43191, allowing for a 60-day public
comment period. No comments were
received for this collection. The purpose
of this notice is to allow an additional
30 days for public comments. The Office
of Management and Budget is
particularly interested in comments
that:
1. 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;
2. 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;
3. Enhance the quality, utility, and
clarity of the information to be
collected; and
4. 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
E:\FR\FM\27FEN1.SGM
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]]>Agencies
[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]
=======================================================================
-----------------------------------------------------------------------
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.
-----------------------------------------------------------------------
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:
------------------------------------------------------------------------
Burden summary Hours
------------------------------------------------------------------------
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
[[Page 11399]]
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
------------------------------------------------------------------------
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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