Notice2026-11497
Proposed Extension of Existing Collection; Request for Examination and/or Treatment (LS-1)
Primary source
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Published
June 9, 2026
Issuing agencies
Labor DepartmentWorkers' Compensation Programs Office
Abstract
The Department of Labor (DOL) is soliciting comments concerning a proposed extension for the authority to conduct the information collection request (ICR) titled "Request for Examination and/or Treatment" (LS-1). This comment request is part of a continuing effort to reduce paperwork and respondent burden in accordance with the Paperwork Reduction Act of 1995. This request helps to ensure that: 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 on respondents can be properly assessed.
Full Text
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<title>Federal Register, Volume 91 Issue 110 (Tuesday, June 9, 2026)</title>
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[Federal Register Volume 91, Number 110 (Tuesday, June 9, 2026)]
[Notices]
[Pages 34839-34840]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-11497]
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DEPARTMENT OF LABOR
Office of the Workers' Compensation Programs
[OMB Control No. 1240-0029].
Proposed Extension of Existing Collection; Request for
Examination and/or Treatment (LS-1)
AGENCY: Office of Workers' Compensation Programs, Division of Longshore
and Harbor Workers' Compensation (OWCP/DLHWC), Department of Labor
ACTION: Request for public comments.
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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 ``Request for Examination
and/or Treatment'' (LS-1). This comment request is part of a continuing
effort to reduce paperwork and respondent burden in accordance with the
Paperwork Reduction Act of 1995. This request helps to ensure that:
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 on
respondents can be properly assessed.
DATES: Consideration will be given to all written comments received by
August 10, 2026.
ADDRESSES: You may submit comment as follows. Please note that late,
untimely filed comments will not be considered.
Electronic Submissions: Submit electronic submissions the following
way:
<bullet> Federal eRulemaking Portal: <a href="https://www.regulations.gov">https://www.regulations.gov</a>.
Follow the instructions for submitting comments. Comments submitted
electronically, including attachments, to <a href="https://www.regulations.gov">https://www.regulations.gov</a>
will be posted to the docket, with no changes. Because your comment
will be made public, you are responsible for ensuring that your comment
does not include any confidential information that you or a third party
may not wish to be posted, such as your or anyone else's Social
Security number or confidential business information.
<bullet> If your comment includes confidential information that you
do not wish to be made available to the public, submit the comment as a
written/paper submission.
Written/Paper Submissions: Submit written/paper submissions in the
following way:
<bullet> Mail/Hand Delivery: Mail or visit DOL-OWCP, Office of
Workers' Compensation Programs, U.S. Department of Labor, 200
Constitution Ave. NW, Room S-3229, Washington, DC 20210.
<bullet> OWCP will post your comment as well as any attachments,
except for information submitted and marked as confidential, in the
docket at <a href="https://www.regulations.gov">https://www.regulations.gov</a>.
FOR FURTHER INFORMATION CONTACT: Contact Anjanette Suggs, Office of
Workers' Compensation Programs, at <a href="/cdn-cgi/l/email-protection#4231372525316c232c28232c2736362702262d2e6c252d34"><span class="__cf_email__" data-cfemail="a5d6d0c2c2d68bc4cbcfc4cbc0d1d1c0e5c1cac98bc2cad3">[email protected]</span></a> (email); or
(202) 354-9660.
SUPPLEMENTARY INFORMATION:
I. Background
The Office of Workers' Compensation Programs administers the
Longshore and Harbor Workers' Compensation Act. The Act 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. Section 33 U.S.C. 907 of the Longshore Act and 20 CFR
702.419, the employer/insurance carrier is responsible for furnishing
medical care for the injured employee for such period of time as the
injury or recovery period may require. Form LS-1 serves two purposes:
It authorizes the medical care, and it provides a vehicle for the
treating physician to report the findings, treatment given, and
anticipated physical condition of the employee. Legal authority for
this information collection is found at 33 U.S.C. 907. Regulatory
authority is found at 20 CFR 702.419.
II. Desired Focus of Comments
The OWCP is soliciting comments concerning the proposed information
collection request (ICR) titled, ``Request for Examination and/or
Treatment (LS-1).'' OWCP/DLHWC is particularly interested in comments
that:
<bullet> Evaluate whether the collection of information is
necessary for the proper performance of the functions of the agency,
including whether the information will have practical utility.
<bullet> Evaluate the accuracy of OWCP/DLHWC's estimate of the
burden related to the information collection, including the validity of
the methodology and assumptions used in the estimate.
<bullet> Suggest methods to enhance the quality, utility, and
clarity of the information to be collected; and
<bullet> 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.
Background documents related to this information collection request
are available at <a href="https://regulations.gov">https://regulations.gov</a> and at DOL-OWCP/DLHWC located
at 200 Constitution Ave. NW, Room S3524, Washington, DC 20210.
Questions about the information collection requirements may be directed
to the person listed in the FOR FURTHER INFORMATION section of this
notice.
III. Current Actions
This information collection request concerns the ``Request for
Examination and/or Treatment (LS-1).'' OWCP/DLHWC has updated the data
with respect to the number of respondents, burden hours, and burden
costs supporting this information collection request from the previous
information collection request.
Type of Review: Extension without change of a currently approved
collection.
Agency: DOL-Office of Workers' Compensation Programs, Division of
Longshore and Harbor Workers' Compensation, OWCP/DLHWC.
OMB Control Number: 1240-0029.
Affected Public: Individuals or Households.
Number of Respondents: 136.
Frequency: On occasion.
Number of Responses: 136.
Average Time per Response: 65 minutes.
Annual Burden Hours: 147.33 hours.
Annual Respondent or Recordkeeper Cost: $3,835.09.
[[Page 34840]]
OWCP Form: Form LS-1, Request for Examination and/or Treatment.
Comments submitted in response to this notice will be summarized in
the request for Office of Management and Budget approval of the
proposed information collection request; they will become a matter of
public record and will be available at <a href="https://www.reginfo.gov">https://www.reginfo.gov</a>.
Authority: 44 U.S.C. 3506(c)(2)(A).
Anjanette Suggs,
Agency Clearance Officer.
[FR Doc. 2026-11497 Filed 6-8-26; 8:45 am]
BILLING CODE 4510-CF-P
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