[Federal Register Volume 61, Number 40 (Wednesday, February 28, 1996)]
[Notices]
[Pages 7536-7537]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-4471]



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DEPARTMENT OF LABOR

Office of the Secretary


Submission for OMB Review; Comment Request

February 22, 1996.
    The Department of Labor (DOL) has submitted the following public 
information collection requests (ICRs) to the Office of Management and 
Budget (OMB) for review and approval in accordance with the Paperwork 
Reduction Act of 1995 (P.L. 104-13, 44 U.S.C. Chapter 35). Copies of 
these individual ICRs, with applicable supporting documentation, may be 
obtained by calling the Department of Labor Acting Departmental 
Clearance Officer, Theresa M. O'Malley ((202) 219-5095). 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.
    Comments should be sent to Office of Information and Regulatory 
Affairs, Attn: OMB Desk Officer for the Employment Standards 
Administration, and the OMB Desk Officer for the Bureau of Labor 
Statistics, Office of Management and Budget, Room 10235, Washington, DC 
20503 ((202) 395-7316), within 30 days from the date of this 
publication in the Federal Register.
    The OMB is particularly interested in comments which:
     Evaluate whether the proposed collection of information is 
necessary for the proper performance of the functions of the agency, 
including whether the information will have practical utility;
     Evaluate the accuracy of the agency's estimate of the 
burden of the proposed collection of information, including the 
validity of the methodology and assumptions used;
     Enhance the quality, utility, and clarity of the 
information to be collected; and
     Minimize the burden of the collection of information on 
those who are to respond, including through the use of appropriate 
automated, electronic, mechanical, or other technological collection 
techniques or other forms of information technology, e.g., permitting 
electronic submission of responses.
    Agency: Employment Standards Administration.
    Title: Application to Employ Special Industrial Homeworkers; 
Application to Employ Student-Learners; Application to Employ Workers 
with Disabilities; Supplemental Data Sheet for Application to Employ 
Workers with Disabilities.
    OMB Number: 1215-0005.
    Agency Number: WH-2; WH-205; WH-266-MIS; WH-226A-MIS.
    Frequency: On occasion.
    Affected Public: Individuals or households; Business or other for-
profit, Not-for-profit institutions; Farms; State, Local or Tribal 
Government.

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                                               Number of                                                        
                    Form                      respondents         Estimated time per response          Subtotal 
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WH-2........................................           50  30 minutes..............................           25
WH-205......................................          600  30 minutes..............................          300
WH-226-MIS..................................        5,000  45 minutes..............................        3,750
WH-226A-MIS.................................        7,200  45 minutes..............................        5,400
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    Total Burden Hours: 9,475.
    Total Burden Cost (capital/startup): 0.
    Total Burden Cost (operating/maintaining): $2,000.
    Description: This information is necessary to determine whether 
respondents will be authorized to pay subminimum wages to individuals 
with disabilities and learners and employ homeworkers in the restricted 
industries under the provisions of sections 11(d), 14 (a), and (c) of 
the Fair Labor Standards Act.

    Agency: Employment Standards Administration.
    Title: Miner's Claim for Benefits Under the Black Lung Benefits 
Act; Employment History; Miner Reimbursement Form.
    OMB Number: 1215-0052.
    Agency Number: CM-911; CM-911a; CM-915.
    Frequency: On occasion.
    Affected Public: Individuals or households; Business or other for-
profit.

[[Page 7537]]


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                                               Number of                                                        
                    Form                      respondents         Estimated time per response          Subtotal 
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CM-911......................................        4,800  45 minutes..............................        3,600
CM-911a.....................................        5,900  40 minutes..............................        3,933
CM-915......................................        9,500  10 minutes..............................        1,583
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    Total Burden Hours: 9,116.
    Total Burden Cost (capital/startup): 0.
    Total Burden Cost (operating/maintaining): $3,500.
    Description: The CM-911 is the standard application form filed by 
the miner for benefits under the Black Lung Benefits Act. The 
information is used by the program to determine the miner's eligibility 
for benefits. The CM-911a lists the miner's work history and is used to 
establish whether the miner currently or formerly worked in a coal 
mine. The CM-915 is used by the miner to provide information necessary 
for reimbursement of medical expenses incurred by the miner.

    Agency: Employment Standards Administration.
    Title: Pre-Hearing Statement.
    OMB Number: 1215-0085
    Agency Number: LS-18.
    Frequency: On occasion.
    Affected Public: Individuals or households; Business or other for-
profit.
    Number of Respondents: 6,800.
    Estimated Time Per Respondent: 10 minutes.
    Total Burden Hours: 1,088.
    Total Burden Cost (capital/startup): 0.
    Total Burden Cost (operating/maintaining): $2,500.
    Description: This form is used to refer cases to the Office of the 
Administrative Law Judge for formal hearing under the Longshore and 
Harbor Workers' Compensation Act.

    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 Time Per Respondent: 1 hour.
    Total Burden Hours: 4,500.
    Total Burden Cost (capital/startup): 0.
    Total Burden Cost (operating/maintaining): $1,000.
    Description: Information collected on this form is used to evaluate 
the financial profile of Office of Workers' Compensation Program 
beneficiaries who have been overpaid benefits, and their ability to 
repay. OWCP beneficiaries are typically retired coal miners disabled by 
black lung disease, and Federal employees disabled due to work-related 
injury, or their survivors.

    Agency: Employment Standards Administration.
    Title: Claim for Continuance 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 Burden Hours: 545.
    Total Burden Cost (capital/startup): 0.
    Total Burden Cost (operating/maintaining): $2,000.
    Description: This collection is used to obtain information on 
marital status of beneficiaries in death cases, in order to determine 
continued entitlement to benefits under the provisions of the Federal 
Employees' Compensation Act.

    Agency: Bureau of Labor Statistics.
    Title: Business Birth Pilot Study.
    Agency Number: BLS790BBPS.
    Frequency: Monthly.
    Affected Public: Business or other for-profit; Not-for-profit 
institutions.
    Number of Respondents: 12,000.
    Estimated Time Per Respondent: 5 minutes per new response; 2 
minutes per on-going response.
    Total Burden Hours: 2,320.
    Total Burden Cost (capital/startup): 0.
    Total Burden Cost (operating/maintaining): 0.
    Description: The Bureau of Labor Statistics (BLS) is initiating a 
major redesign of the Current Employment Statistics (CES) monthly 
payroll survey. An on-going sample of business births is maintained 
under this request. This information is used to develop birth sampling 
methods, procedures to estimate birth employment, and to track 
activities of new business overtime. This will directly benefit the CES 
survey in its total employment estimates.
Theresa M. O'Malley,
Acting Departmental Clearance Officer.
[FR Doc. 96-4471 Filed 2-27-96; 8:45 am]
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