[Federal Register Volume 59, Number 174 (Friday, September 9, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-22196]


[[Page Unknown]]

[Federal Register: September 9, 1994]


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DEPARTMENT OF LABOR
 

Agency Recordkeeping/Reporting Requirements Under Review by the 
Office of Management and Budget (OMB)

    Background: The Department of Labor, in carrying out its 
responsibilities under the Paperwork Reduction Act (44 U.S.C. Chapter 
35), considers comments on the reporting/recordkeeping requirements 
that will affect the public.
    List of Recordkeeping/Reporting Requirements Under Review: As 
necessary, the Department of Labor will publish a list of the Agency 
recordkeeping/reporting requirements under review by the Office of 
Management and Budget (OMB) since the last list was published. The list 
will have all entries grouped into new collections, revisions, 
extensions, or reinstatements. The Departmental Clearance Officer will, 
upon request, be able to advise members of the public of the nature of 
the particular submission they are interested in.
    Each entry may contain the following information:
    The Agency of the Department issuing this recordkeeping/reporting 
requirement.
    The title of the recordkeeping/reporting requirement.
    The OMB and/or Agency identification numbers, if applicable.
    How often the recordkeeping/reporting requirement is needed.
    Whether small businesses or organizations are affected.
    An estimate of the total number of hours needed to comply with the 
recordkeeping/reporting requirements and the average hours per 
respondent.
    The number of forms in the request for approval, if applicable.
    An abstract describing the need for and uses of the information 
collection.
    Comments and Questions: Copies of the recordkeeping/reporting 
requirements may be obtained by calling the Departmental Clearance 
Officer, Kenneth A. Mills (202) 219-5095). Comments and questions about 
the items on this list should be directed to Mr. Mills, Office of 
Information Resources Management Policy, U.S. Department of Labor, 200 
Constitution Avenue, NW., Room N-1301, Washington, DC 20210. Comments 
should also be sent to the Office of Information and Regulatory 
Affairs, Attn: OMB Desk Officer for (BLS/DM/ESA/ETA/OAW/MSHA/OSHA/PWBA/
VETS), Office of Management and Budget, Room 10102, Washington, DC 
20503 (202) 395-7316).
    Any member of the public who wants to comment on recordkeeping/ 
reporting requirements which have been submitted to OMB should advise 
Mr. Mills of this intent at the earliest possible date.

Extension

Employment Standards Administration
Health Insurance Claim Form; EOB Notification of Denial
1215-0055; OWCP 1500
On occasion
Individuals or households; State or local governments; businesses or 
other for-profit; Federal agencies or employees; non-profit 
institutions; small businesses or organizations 

------------------------------------------------------------------------
                                                    Minutes             
                                        No. of        per        Total  
                                     respondents   response     hours   
------------------------------------------------------------------------
HCFA 1500 (FECA)...................       417,830         15     104,457
HCFA 1500 (FBLBA)..................         8,000          5         667
HCFA 1500 (FBLBA)..................        86,000         15      21,500
EOB Notification of Denial.........       244,340          5      20,362
                                    ------------------------------------
    Total hours....................  ............  .........    146,986 
------------------------------------------------------------------------

    The OWCP 1500 is a standard form used by all medical providers 
(except pharmacies) to request payment for FECA and FBLBA claimants' 
treatment for industrial injury and disease.

Extension

Employment Standards Administration
Resubmission Turnaround Document
1215-0177; CM-1173
On occasion
Businesses or other for-profit; Non-profit institutions; Small 
businesses or organizations
30,000 respondents; 5 mins. per response; 2,500 total hours; 1 form

    The Resubmission Turnaround Document is a computer generated form 
that collects missing information from the OWCP 92 and OWCP 1500 for 
processing the medical treatment bills for payment.

Revision

Pension and Welfare Benefits Administration
Annual Report/Form 5500 Series
1210-0016; Form 5500
Businesses or other for-profit; non-profit institutions; small 
businesses or organizations
822,000 respondents; 1.234 hours per response; 1,014,000 total hours

Section 104(a) of the Employee Retirement Income Security Act (ERISA) 
requires plan administrators to file an annual report containing the 
information described in section 103 of ERISA. The form 5500 series 
provides a standard format for filing that requirement.

    Signed at Washington, D.C. this 1st day of September, 1994.
Richard B. Baker,
Acting Departmental Clearance Officer.
[FR Doc. 94-22196 Filed 9-8-94; 8:45 am]
BILLING CODE 4510-27-P