[Federal Register Volume 60, Number 119 (Wednesday, June 21, 1995)]
[Notices]
[Pages 32341-32343]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-15213]



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DEPARTMENT OF LABOR

Office of the Secretary


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

June 15, 1995.
    The Department of Labor has submitted the following public 
information collection requests (ICRs) to the Office of Management and 
Budget (OMB) for review and clearance under the Paperwork Reduction Act 
(44 U.S.C. Chapter 35) of 1980, as amended (P.L. 96-511). Copies may be 
obtained by calling the Department of Labor Acting Departmental 
Clearance Officer, Theresa M. O'Malley ({202} 219-5095). Comments and 
questions about the ICRs listed below should be directed to Ms. 
O'Malley, 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 
10325, Washington, DC 20503 ({202}) 395-7316).
    Individuals who use a telecommunications device for the deaf (TTY/
TDD) may call {202} 219-4720 between 1:00 p.m. and 4:00 p.m. Eastern 
time, Monday through Friday.

Type of Review: Revision
Agency: Bureau of Labor Statistics
Title: National Longitudinal Survey of Youth 79
OMB Number: 1220-0109
Agency number: NORC-4531
Frequency: Biennially
Affected Public: Individuals or households
Number of Respondents: 8,850
Estimated Time per Respondent: 100 minutes
Total Burden Hours: 14,750
Description: The information provided in this survey will be used by 
the Department of Labor and other government agencies to help 
understand and explain the employment, unemployment, and related 
problems faced by young men and women in this age group.

Type of Review: Revision
Agency: Employment Standards Administration
Title: Application for a Farm Labor Contractor Employee Certificate of 
Registration
OMB Number: 1215-0037
Agency number: WH-512 MIS
Frequency: On occasion
Affected Public: Individuals or households; Business or other for-
profit; Farms
Number of Respondents: 2,700
Estimated Time per Respondent: 30 minutes
Total Burden Hours: 1,350
Description: The Migrant Seasonal Agricultural Worker Protection Act 
provides that no individual may perform farm labor contracting 
activities without a certificate of registration. Form WH-512 MIS is an 
application form which provides the Department of Labor with the 
information necessary to issue a certificate specifying the farm labor 
contracting activities authorized.

Type of Review: Extension
Agency: Employment Standards Administration
Title: Medical Travel Refund Request
OMB Number: 1215-0054
Agency Number: CM-957
Frequency: On occasion
Affected Public: Individuals or households; Business or other for-
profit
Number of Respondents: 12,000
Estimated Time Per Respondent: 10 minutes
Total Burden Hours: 2,000
Description: This form is used by coal miners requesting reimbursement 
for out-of-pocket expenses incurred when traveling to medical providers 
for black lung diagnostic testing or treatment of their black lung 
disease.

[[Page 32342]] Type of Review: Extension
Agency: Employment Standards Administration
Title: Operator Controversion--CM-970; Operator Response--CM-970a
OMB Number: 1215-0058
Agency Number: CM-970; CM-970a
Frequency: On occasion
Affected Public: Business or other for-profit
Number of Respondents: 3,500
Estimated Time Per Respondent: 15 minutes
Total Burden Hours: 1,750
Description: The CM-970 and the CM-970a are used by most coal mine 
operators to controvert an initial finding or potential liability for 
payment of black lung benefits under the Act.
Type of Review: Extension
Agency: Employment Standards Administration
Title: Request for State or Federal Workers' Compensation Information
OMB Number: 1215-0060
Agency Number: CM-905
Frequency: On occasion
Affected Public: Federal Government; State, Local or Tribal Government
Number of Respondents: 4,440
Estimated Time Per Respondent: 15 minutes
Total Burden Hours: 1,100
Description: The Federal Mine Safety and Health Act of 1977, as 
amended, 30 U.S.C. 922 and 20 CFR 725.535 direct that Department of 
Labor benefit payments to a beneficiary for any month be reduced by any 
other payments of State of Federal benefits for workers' compensation 
due to pneumoconiosis. To ensure compliance with this mandate, the 
Division of Coal Mine Workers Compensation (DCMWC) must collect 
information regarding the status of any State or Federal workers' 
compensation claim, including date of payments, weekly or lump sum 
amounts paid, and other fees or expenses paid out of this award. The 
information is used by the DCMWC in determining the amounts of black 
lung benefits paid to beneficiaries.

Type of Review: Extension
Agency: Employment Standards Administration
Title: Survivor's Notification of Beneficiary's Death
OMB Number: 1215-0087
Agency Number: CM-1089
Frequency: On occasion
Affected Public: Individuals or households
Number of Respondents: 2,100
Estimated Time Per Respondent: 8 minutes
Total Burden Hours: 280
Description: The CM-1089 is used to gather information from a 
beneficiary's survivor to ensure that benefits due on behalf of a 
deceased miner are accurate for continuation of benefits.

Type of Review: Extension
Agency: Employment Standards Administration
Title: Survivor's Notification of Beneficiary's Death
OMB Number: 1215-0116
Agency Number: CA-721, CA-722
Frequency: On occasion
Affected Public: Individuals or households; Business or other for-
profit; State, local or Tribal Government

------------------------------------------------------------------------
                                                               Estimated
                                                               time per 
                      Form                       Respondents  respondent
                                                                minutes 
------------------------------------------------------------------------
CA-721.........................................          16          60 
CA-722.........................................          47          90 
------------------------------------------------------------------------

Total Burden Hours: 87
Description: These forms are used for filing claims for compensation 
for injury and death to non-Federal law enforcement officers under the 
provisions of U.S.C. 8191, etc. seq. The forms provide the basic 
information needed to process the claims made for injury or death.

Type of Review: Extension
Agency: Employment Standards Administration
Title: Waiver of Child Labor Provisions for Agricultural employment of 
10 and 11 Year Old Minor in Hand Harvesting of Short Season Crops
OMB Number: 1215-0120
Frequency: On occasion
Affected Public: Individuals or households; Farms
Number of Respondents: 1
Estimated Time Per Respondent: 4 hours
Total Burden Hours: 4
Description: Agricultural employers must supply certain information to 
the Department of Labor when applying for a waiver of the child labor 
provisions to employ 10 and 11 year old minors in hand harvesting of 
short season crops. Employers granted waivers are required to maintain 
certain records.

Type of Review: Extension
Agency: Employment Standards Administration
Title: Maintenance of Receipt for Benefits Paid by a Coal Mine Operator
OMB Number: 1215-0124
Agency: CM-200
Frequency: Recordkeeping
Affected Public: Business or other for-profit
Number of Respondents: 150
Estimated Time Per Respondent: 1 hour
Total Burden Hours: 150
Description: Insurance carriers and self-insured coal mine operators 
who make benefit payments to black lung beneficiaries are required to 
maintain receipts for black lung benefit payments for five years after 
the date on which the receipt was executive in order to verify payment 
of black lung benefits.

Type of Review: Revision
Agency: Employment Standards Administration
Title: Labor Standards for Federal Service Contracts
OMB Number: 1215-0150
Frequency: On occasion
Affected Public: Business or other for-profit; Federal Government
Number of Respondents: 55,567

------------------------------------------------------------------------
                                                         Estimated time 
                   Type                    Respondents   per respondent 
------------------------------------------------------------------------
Vacation benefit seniority list..........      53,267   1 hour.         
Conformance record.......................         300   30 minutes.     
Collective bargaining agreements.........       2,000   5 minutes.      
------------------------------------------------------------------------

Total Burden Hours: 53,584
Description: This information collection is in accordance with the 
provisions of 29 CFR part 4 for recordkeeping and incidental reporting 
requirements in Service Contract Act Regulations applicable to 
employers performing on service contracts with the Federal government.

Type of Review: Extension
Agency: Employment Standards Administration
Title: Rehabilitation Maintenance Certificate
OMB Number: 1215-0161
Agency number: OWCP 17
Frequency: On occasion
Affected Public: Individuals or households; Business or other for-
profit; Not-for-profit institutions
Number of Respondents: 1,300
Estimated Time per Respondent: 10 minutes
Total Burden Hours: 15,600
Description: The Office of Workers Compensation Program (OWCP 17) 
serves as a bill submitted by the injured worker to OWCP requesting 
reimbursement of expenses incurred due to participation in an approved 
rehabilitation effort for the preceding four week period or fraction 
thereof.

[[Page 32343]] Type of Review: Extension
Agency: Employment Standards Administration
Title: Application for Approval of a Representative's Fee in a Black 
Lung Proceeding Conducted by the Department of Labor
OMB Number: 12515-0171
Agency number: CM-972
Frequency: On occasion
Affected Public: Business or other for-profit
Number of Respondents: 1,600
Estimated Time per Respondent: 42 minutes
Total Burden Hours: 1,120
Description: Specific requirements are set forth in 20 CFR 725.365 and 
725.366 for the items of information that must be included on 
representative fee applications in order for the representative to be 
paid. The CM-972 is designed to collect this information.

Type of Review: Reinstatement
Agency: Employment and Training Administration
Title: Internal Fraud Activities
OMB Number: 1215-0187
Agency number: ETA 9000
Frequency: Annual
Affected Public: Federal Government; State, Local or Tribal Government
Number of Respondents: 53
Estimated Time per Respondent: 3 hours
Total Burden Hours: 159
Description: Form ETA 9000 is the State Employment Security Agency's 
(SESA) Employment and Training Administration's (ETA) sole data 
collection instrument to identifying continuing activity involving 
internal fraud and assessing fraud prevention effectiveness. Resulting 
analysis will be communicated to SESAs to enhance management efforts in 
controlling false representation and fraud. Negative trends could 
result in ETA requesting Office of the Inspector General audits.

Type of Review: Revision
Agency: Employment and Training Administration
Title: Attestation by Employers Using Alien Crewmembers for Longshore 
Activities in U.S. Ports
OMB Number: 1205-0309
Agency number: ETA 9033
Frequency: As needed
Affected Public: Individuals or households; Business or other for-
profit; Not-for-profit institutions; Federal Government; State, Local 
or Tribal Government
Number of Respondents: 500
Estimated Time per Respondent: 4 hours
Total Burden Hours: 2,000
Description: The information provided on this form by employers seeking 
to use alien crewmembers to perform longshore work at U.S. ports will 
permit the Department of Labor to meet Federal responsibilities for 
program administration, management and oversight.

Type of Review: Extension
Agency: Mine Safety Health Administration
Title: Training Plan Regulations (30 CFR 48.3 and 48.23)
OMB Number: 1219-0009
Frequency: On occasion
Affected Public: Business or other for-profit
Number of Respondents: 1,300
Estimated Time per Respondent: 8 hours
Total Burden Hours: 10,400
Description: Requires mine operators to have a Mine Safety and Health 
Administration approved plan containing programs for training new 
miners, training newly-employed experienced miners, training miners for 
new tasks, annual refresher training, and hazard training.

Type of Review: Extension
Agency: Departmental Management, Office of the Solicitor
Title: Equal Access to Justice Act
OMB Number: 1225-0013
Frequency: On occasion
Affected Public: Individuals or households; Business or other for-
profit; Not-for-profit institutions; Federal Government; State, Local 
or Tribal Government
Number of Respondents: 10
Estimated Time per Respondent: 5 hours
Total Burden Hours: 50
Description: The Equal Access to Justice Act provides for payment of 
fees and expenses to eligible parties who have prevailed against the 
Department of Labor in certain administrative proceedings. In order to 
obtain an aware, the statute and regulations require the filing of an 
application.
Theresa M. O'Malley,
Acting Departmental Clearance Officer.
[FR Doc. 95-15213 Filed 6-20-95; 8:45 am
BILLING CODE 4510-27-M