[Federal Register Volume 60, Number 184 (Friday, September 22, 1995)]
[Notices]
[Page 49287]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-23536]



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DEPARTMENT OF LABOR


Agency Information Collection Review

AGENCY: Employment Standards Administration, DOL.

ACTION: Expedited review of the following information collection 
request under the Paperwork Reduction Act.

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SUMMARY: The Office of Workers' Compensation (OWCP), Employment 
Standards Administration (ESA), Department of Labor (DOL), invites 
comments on the following proposed expedited review information 
collection request, in carrying out its responsibilities under the 
Paperwork Reduction Act (44 U.S.C. Chapter 35, 5 CFR 1320 (53 FR 16618, 
May 10, 1988).

DATES: This expedited review is being requested in accordance with the 
Act, since allowing for the normal review period would adversely affect 
the public interest. Approval by the Office of Management and Budget 
(OMB) has been requested by September 29, 1995.

ADDRESSES: Written comments should be addressed to the Office of 
Management and Budget, Office of Information and Regulatory Affairs, 
Attention: Debra Bond, Desk Officer, 725 17th Street, N.W., Room 10235, 
New Executive Office Building, Wash., D.C. 20503. Request for copies of 
the proposed information collection request should be addressed to 
Theresa M. O'Malley, Department of Labor, 200 Constitution Ave., N.W. 
Room N-1301, Wash., DC 20210.

FOR FURTHER INFORMATION CONTACT:
Theresa M. O'Malley (202) 219-5095. Individuals who use a 
telecommunications device for the deaf (TTY/TDY) may call (202) 219-
4720 between 1:00 p.m. and 4:00 p.m. Eastern time, Monday through 
Friday.

SUPPLEMENTARY INFORMATION: Section 3517) of the Paperwork Reduction Act 
of 1980 (44 U.S.C. Chapter 3517) requires that the Director of OMB 
provide interested persons an early opportunity to comment on 
information requests. OMB may amend or waive the requirement for public 
consultation to the extent that public participation in the approval 
process would defeat the purpose of the information collection, violate 
State or Federal law, or substantially interfere with the agency's 
ability to perform its statutory obligations.
    The Director, Office of Information Resources Management Policy, 
publishes this notice simultaneous with the submission of this request 
to OMB. This notice contains the following information:

Type of Review: Expedited
Title: Claim for Compensation on Account of Traumatic Injury or 
Occupational Disease, Form CA-7; and, Claim for Continuing Compensation 
on Account of Disability, Form CA-8
Frequency of Response: Form CA-7 is used as an initial claim for 
compensation and the CA-8 is filed for continuing compensation
Affected Public: The forms are required of a member of the public on 
rare occasions, such as when compensation is claimed after the 
claimant's Federal employment has terminated

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                                                                  Total 
             Form                Respondents     Per response     hours 
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CA-7..........................  Est. 200.....  30 minutes......      100
CA-8..........................  Est. 200.....  30 minutes......      100
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Total Annual Burden Hours: 200
Respondents Obligation to Reply: Mandatory for determining claimants 
continuing eligibility for and computation of benefits
Description: The ESA, Office of Workers' Compensation Programs 
administers the Federal Employees' Compensation Act that provides for 
payment of benefits for wage-loss and/or for permanent impairment to a 
scheduled member arising out of a work related injury or disease. The 
Act outlines eligibility requirements, as well as amount of benefits. 
Information from these forms allow OWCP to fulfill its statutory 
requirement.

    Signed at Washington, D.C. this 18 day of September 1995.
Theresa M. O'Malley,
Acting Departmental Clearance Officer.
[FR Doc. 95-23536 Filed 9-21-95; 8:45 am]
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