[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]
=======================================================================
-----------------------------------------------------------------------
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