[Federal Register Volume 60, Number 231 (Friday, December 1, 1995)]
[Notices]
[Pages 61711-61714]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-29334]



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DEPARTMENT OF LABOR

Investigations Regarding Certifications of Eligibility to Apply 
for Worker Adjustment Assistance

    Petitions have been filed with the Secretary of Labor under 
section 221(a) of the Trade Act of 1974 (``the Act'') and are 
identified in the Appendix to this notice. Upon receipt of these 
petitions, the Program Manager of the Office of Trade Adjustment 
Assistance, Employment and Training Administration, has instituted 
investigations pursuant to section 221(a) of the Act.
    The purpose of each of the investigations is to determine whether 
the workers are eligible to apply for adjustment assistance under title 
II, chapter 2, of the Act. The investigations 

[[Page 61712]]
will further relate, as appropriate, to the determination of the date 
on which total or partial separations began or threatened to begin and 
the subdivision of the firm involved.
    The petitioners or any other persons showing a substantial interest 
in the subject matter of the investigations may request a public 
hearing, provided such request is filed in writing with the Program 
Manager, Office of Trade Adjustment Assistance, at the address shown 
below, not later than December 11, 1995.
    Interested persons are invited to submit written comments regarding 
the subject matter of the investigations to the Program Manager, Office 
of Trade Adjustment Assistance, at the address shown below, not later 
than December 11, 1995.
    The petitions filed in this case are available for inspection at 
the Office of the Program Manager, Office of Trade Adjustment 
Assistance, Employment and Training Administration, U.S. Department of 
Labor, 200 Constitution Avenue, NW., Washington, DC 20210.

    Signed at Washington, DC, this 20th day of November, 1995.
Russell Kile,
Acting Program Manager, Policy and Reemployment Services, Office of 
Trade Adjustment Assistance.

                                                    Appendix                                                    
                                        [Petitions institued on 11/20/95]                                       
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                        Subject firm                                          Date of                           
      TA-W             (petitioners)                   Location               petition          Product(s)      
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31,633..........  Columbia Footwear Corp.  Hazleton, PA...................     11/09/95  Casual Footwear.       
                   (UFCW).                                                                                      
31,634..........  Carter Footwear, Inc.    Wilkes-Barre, PA...............     11/09/95  Athletic Footwear.     
                   (UFCW).                                                                                      
31,635..........  Distribution Auto        Seattle, PA....................     11/08/95  Auto Accessories--     
                   Service (IBT).                                                         Distribution.         
31,636..........  Frank Ix and Sons        Charlottesville, VA............     11/07/95  Synthetic Yarn.        
                   (Wkrs).                                                                                      
31,637..........  Guin Manufacturing Co.   Guin, AL.......................     11/07/95  Ladies' Sleepwear,     
                   (Wkrs).                                                                Robes, Panties.       
31,638..........  Greenfield Research,     Howe, IN.......................     11/02/95  Automobile Seating     
                   Inc. (Wkrs).                                                           Units.                
31,639..........  J & H Manufacturing Co.  New York, NY...................     11/08/95  Raincoats and Coats.   
                   (Wkrs).                                                                                      
31,640..........  Knapp Shoe (Wkrs)......  Lewiston, ME...................     11/03/95  Work Shoes, Work Boots.
31,641..........  Sons Transportation      Springfield, MA................     11/08/95  Styrene Monomer.       
                   (Wkrs).                                                                                      
31,642..........  Teledyne Wah Chang       Albany, OR.....................     11/06/95  Specialty Metals.      
                   (Wkrs).                                                                                      
31,643..........  Inland Steel Company     East Chicago, IN...............     11/07/95  Holt Rolled Coils.     
                   (USWA).                                                                                      
31,644..........  Texaco Trading & (Wkrs)  Tulsa, OK......................     10/31/95  Crude oil.             
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DEPARTMENT OF LABOR
Employment Standards Administration
Proposed Information Collection Request
    Proposed Information Collection Request Submitted for Public 
Comment and Recommendations;
    1. Application for Special Industrial Homeworker's Certificate (WH-
2), Application for Authorization to Employ Student-Learner at 
Subminimum Wages (WH-205), Application for Authority to Employ Workers 
With Disabilities at Special Minimum Wages (WH-226-MIS), Supplemental 
Data Sheet for Application for Authority to Employ Workers with 
Disabilities at Special Minimum Wages (WH-225A-MIS);
    2. Claim for Continuance of Compensation (CA-12);
    3. Overpayment Recovery Questionnaire (OWCP-20);
    4. Pre-Hearing Statement (LS-18);
    5. Miner's Claim for Benefits Under the Black Lung Benefits Act 
(CM-911), Employment History (CM-911A), Miner Medical Reimbursement 
Form (CM-915).

AGENCY: Employment Standards Administration, Labor.

ACTION: Notice.

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SUMMARY: The Department of Labor, as part of its continuing effort to 
reduce paperwork and respondent burden, conducts a preclearance 
consultation program to provide the general public and Federal agencies 
with an opportunity to comment on proposed and/or continuing 
collections of information in accordance with the Paperwork Reduction 
Act of 1995 (PRA95) (44 U.S.C. 3506(c)(2)(A). This program 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. 
Currently, the Employment Standards Administration is soliciting 
comments concerning the proposed extension collection of: (1) 
Application for Special Industrial Homeworker's Certificate, 
Application for Authorization to Employ a Student-Learner at Subminimum 
Wages, Application for Authority to Employ Workers with Disabilities at 
Special Minimum Wages, and Supplemental Data Sheet for Application for 
Authority to Employ Workers with Disabilities at Special Minimum Wages; 
(2) Claim for Continuance of Compensation; (3) Overpayment Recovery 
Questionnaire; (4) Pre-Hearing Statement; Miner's Claim for Benefits 
Under the Black Lung Benefits Act, Employment History, and Miner 
Reimbursement Form.
    Copies of the proposed information collection requests can be 
obtained by contracting the employee listed below in the addressee 
section of this notice.

DATES: Written comments must be submitted on or before February 1, 
1996. Written comments should address whether the proposed information 
collection is necessary for the proper performance of the functions of 
the agency; the accuracy of the burden (time and financial resources) 
estimates; ways to minimize burden including the use of automated 
collection techniques or the use of other forms of information 
technology; and other relevant aspects of the information collection 
request.

ADDRESSES: Ms. Patricia A. Forkel, U.S. Department of Labor, 200 
Constitution Ave., NW, Room S-3201, Washington, DC 20210, telephone 
(202) 219-7601 (this is not a toll-free number), fax 202-219-6592.

SUPPLEMENTARY INFORMATION: Application for Special Industrial 
Homeworker's Certificate (WH-2), Application for Authorization to 
Employ a Student-Learner at Subminimum Wages (WH-205), Application for 
Authority to Employ Workers with Disabilities at Special Minimum Wages 
(WH-226-MIS), and Supplemental Data Sheet for Application for Authority 
to Employ Workers with Disabilities at Special Minimum Wages (WH-226A-
MIS):
    I. Background: Section 11(d) of the Fair Labor Standards Act 
authorizes the 

[[Page 61713]]
Secretary to Labor to regulate, restrict, or prohibit industrial 
homework as necessary to prevent evasion of the minimum wage 
requirement of the Act. Employers may obtain general certificates to 
employ homeworkers in certain industries. The WH-2 is used by employers 
to obtain such certificates. Section 14(a) of the Fair Labor Standards 
Act provides in part that the Secretary of Labor, to the extent 
necessary in order to prevent curtailment of opportunities for 
employment, shall provide for the employment of learners at subminimum 
wage rates, and to set limitations on such employment as to time, 
number, proportion, and length of service. The WH-205 is used by 
employers to obtain certificates to employ student-learners at wages 
lower than the Federal minimum wage. Section 14(c) of the Fair Labor 
Standards Act provides for the employment of workers with disabilities 
at subminimum wages in sheltered workshops, competitive employment, and 
hospitals and institutions in order to prevent curtailment of 
employment opportunities for such individuals. The WH-226-MIS and the 
WH-226A-MIS are used by employers to obtain such authorization.
    II. Current Actions: The Department of Labor seeks the extension of 
approval to collect this information to continue to provide employers 
with the certification necessary to employ individuals under the 
described special circumstances, in order to prevent the curtailment of 
employment opportunities for affected individuals.

Claim for Continuance of Compensation (CA-12)

    I. Background: Under 5 USC 8133, eligible dependents of deceased 
employees receive compensation benefits after the death of the 
employee. The CA-12 is an annual form which is filled out by the 
beneficiaries and used by the Office of Workers' Compensation Programs 
to ensure that the eligibility status of the beneficiary has not 
changed and that they remain entitled to receive benefits.
    II. Current Actions: The Department of Labor seeks the extension of 
this information collection in order to ensure that the death benefits 
continue to be paid correctly and that payments are not made to 
ineligible survivors.

Overpayment Recovery Questionnaire

    I. Background: When an overpayment to a beneficiary of the Office 
of Workers' Compensation Programs has been made because of an error of 
fact of law, adjustments are to be made under regulations prescribed by 
their Secretary of Labor by decreasing later payments to which the 
individual is entitled. Under certain circumstances, recovery of the 
overpayment must be waived. This collection of information is used to 
determine whether or not the recovery of the overpayment may be waived, 
compromised, terminated, or collected in full.
    II. Current Actions: The Department of Labor seeks the extension of 
approval to collect this information in order to provide the 
beneficiary the opportunity to explain why he/she is without fault in 
an overpayment, and to determine whether or not the recovery should be 
waived.

Pre-Hearing Statement (LS-18)

    I. Background: Title 20, CFR 702.317 provides for the referral of 
claims under the Longshore and Harbor Workers' Act for formal hearings. 
The Pre-Hearing Statement is used to refer cases for formal hearing.
    II. Current Actions: The Department of Labor seeks the extension of 
approval to collect the information. The information is necessary to 
establish and clarify the issues involved in the case.

Miner's Claim for Benefits Under the Black Lung Benefits Act (CM-911), 
Employment History (CM-911A), and Miner Reimbursement Form (CM-915)

    I. Background: Title IV of the Federal Mine Safety and Health Act 
of 1977 as amended by the Black Lung Benefits Reform Act of 1977 and 
subsequent amendments, 30 USC 901 et seq, provide for the payment of 
benefits to a coal miner who is totally disabled due to black lung 
disease, and to certain survivors of the entitled miner. The CM-911 is 
the miner's application form for benefits. The CM-911A, completed at 
the same time as the CM-911, is an employment history used to establish 
that the miner currently works or formerly worked in a coal mine. The 
CM-915 is completed by miners payees who are requesting reimbursement 
for black lung related medical services covered under the program.
    II. Current Actions: The Department of Labor seeks the extension of 
approval to collect this information in order to ensure that 
beneficiaries are paid all benefits to which they are entitled by law.
    Type of Review: Extension.
    Agency: Employment Standards Administration.
    Title: Application for Special Industrial Homeworker's Certificate 
(WH-2), Application for Authorization to Employ Student-Learner at 
Subminimum Wages (WH-205), Application for Authority to Employ Workers 
With Disabilities at Special Minimum Wages (WH-226-MIS), Supplemental 
Data Sheet for Application for Authority to Employ Workers with 
Disabilities at Special Minimum Wages (WH-225A-MIS).
    OMB Number: 1215-0158.
    Agency Numbers: WH-2, WH-205, WH-226-MIS, WH-226A-MIS.
    Frequency: On occasion.
    Affected Public: Individuals or households; Businesses or other 
for-profit; Not for-profit institutions; Farms; State, Local or Tribal 
Government.

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                                                       No.            Est. time per                             
                      Form                         respondents          respondent               Subtotal       
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WH-2...........................................              50  30 min.................  25 hrs.               
WH-205.........................................             600  30 min.................  300 hrs.              
WH-226-MIS.....................................           5,000  45 min.................  3,750 hrs.            
WH-226A-MIS....................................           7,200  45 min.................  5,400 hrs.            
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    Total Estimated Cost: Unknown.
    Total Burden Hours: 9,475.

    Type of Review: Extension.
    Agency: Employment Standards Administration.
    Title: Claim for Continuation of Compensation.
    OMB Number: 1215-0154.
    Agency Number: CA-12.
    Frequency: Annually.
    Affected Public: Individuals or households.
    Number of Respondents: 6,537.
    Estimated Time per Respondent: 5 minutes.
    Total Estimated Cost: $2,091.84.

[[Page 61714]]

    Total Burden Hours: 545.

    Type of Review: Extension.
    Agency: Employment Standards Administration.
    Title: Overpayment Recovery Questionnaire.
    OMB Number: 1215-0144.
    Agency Number: OWCP-20.
    Frequency: On occasion.
    Affected Public: Individuals or households.
    Number of Respondents: 4,500.
    Estimated Average Time per Respondent: 1 hour.
    Total Estimated Cost: $1,440.
    Total Burden Hours: 4,500.

    Type of Review: Extension.
    Agency: Employment Standards Administration.
    Title: Pre-Hearing Statement.
    OMB Number: 1215-0085.
    Agency Number: LS-18.
    Frequency: On occasion.
    Affected Public: Individuals or households; Businesses or other 
for-profit.
    Number of Respondents: 6,800.
    Estimated Time per Respondent: 10 minutes.
    Total Estimated Cost: $2,176.
    Total Burden Hours: 1,088.

    Type of Review: Extension.
    Agency: Employment Standards Administration.
    Title: Miner's Claim for Benefits Under the Black Lung Benefits Act 
(CM-911), Employment History (CM-911A), Miner Reimbursement Form (CM-
915).
    OMB Number: 1215-0052.
    Agency Numbers: CM-911, CM911A, CM-915.
    Frequency: On occasion.
    Affected Public: Individuals or households; Businesses or other 
for-profit.

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                                                       No.            Est. time per                             
                      Form                         respondents          respondent               Subtotal       
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CM-911.........................................           4,800  45 min.................  3,600                 
CM-911A........................................           5,900  40 min.................  3,933                 
CM-915.........................................           9,500  10 min.................  1,583                 
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    Total Estimated Cost: $3,424.
    Total Burden Hours: 9,116.
    Comments submitted in response to this notice will be summarized 
and/or included in the request for Office of Management and Budget 
approval of the information collection request; they will also become a 
matter of public record.

    Dated: November 24, 1995.
Margaret J. Sherrill,
Chief, Branch of Management, Review and Analysis, Division of Financial 
Management, Office of Management, Administration and Planning, 
Employment Standards Administration.
[FR Doc. 95-29334 Filed 11-30-95; 8:45 am]
BILLING CODE 4510-27-M