[Federal Register Volume 61, Number 100 (Wednesday, May 22, 1996)]
[Notices]
[Pages 25693-25694]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-12846]



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DEPARTMENT OF LABOR
Employment Standards Administration


Proposed Collection; Comment Request

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 revision collection of FECA Medical 
Report Forms: CA-7, CA-8, CA-16b, CA-20, CA-20a, CA-1090, CA-1303, CA-
1305, CA-1306, CA-1314, CA-1316, CA-1331, CA-1332, A-1336, OWCP-5a, 
OWCP-5b, and OWCP-5c.
    A copy of the proposed information collection request can be 
obtained by contacting the office listed below in the addressee section 
of this notice.

DATES: Written comments must be submitted to the office listed in the 
addressee section below on or before July 24, 1996. The Department of 
Labor 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 submissions of responses.

ADDRESSEE: Mr. Rich Elman, U.S. Department of Labor, 200 Constitution 
Ave., NW., Room S-3201, Washington, DC 20210, telephone (202) 219-6375 
(this is not a toll-free number), fax 202-219-6592.

SUPPLEMENTARY INFORMATION:

I. Background

    Statute 5 USC 8101 et seq. of the Federal Employees' Compensation 
Act provides for the payment of benefits for wage-loss and/or for 
permanent payment to a scheduled member, arising out of a work-related 
injury or disease. The CA-7 and CA-8 request information, allowing the 
Office of Workers' Compensation Programs to fulfill its statutory 
requirements for the period of compensation claimed (e.g., the pay 
rate, dependents, earnings, dual benefits and third party information). 
The other forms in this proposed revision collection collect medical

[[Page 25694]]

information necessary to determine entitlement to benefits under FECA.

II. Current Actions

    The Department of Labor seeks the revision approval to collect this 
information in order to carry out its responsibility to determine 
eligibility for and the compensation of benefits. The OWCP-5a, OWCP-5b 
and OWCP-5c are being revised. The CA-1302, formerly included in 1215-
0103, is being eliminated.
    Type of Review: Revision.
    Agency: Employment Standards Administration.
    Title: FECA Medical Report Forms.
    OMB Number: 1215-0103.
    Agency Numbers: CA-7, CA-8, CA-16b, CA-20, CA-20a, CA-1090, CA-
1303, CA-1305, CA-1306, CA-1314, CA-1316, CA-1331, CA-1332, A-1336, 
OWCP-5a, OWCP-5b, and OWCP-5c.
    Affected Public: Individuals or households; Businesses or other 
for-profit; Federal Government.
    Total Respondents: 441,855.
    Frequency: As needed.
    Total Responses: 441,855.
    Estimated Total Burden Hours: 43,412.

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                                              Form                                                      Burden  
                  Total                   respondents   Responses         Total response time           hours   
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CA-7....................................          200          200  20 min.........................           67
CA-8....................................          200          200  5 min..........................           17
CA-16B..................................      157,000      157,000  5 min..........................       13,083
CA-17B..................................      134,000      134,000  5 min..........................       11,167
CA-20...................................       92,000       92,000  5 min..........................        7,667
CA-20a..................................       20,000       20,000  5 min..........................        1,667
CA-1090.................................          800          800  5 min..........................           67
CA-1303.................................        4,000        4,000  20 min.........................        1,333
CA-1305.................................           80           80  20 min.........................           27
CA-1306.................................           25           25  10 min.........................            4
CA-1314.................................        1,200        1,200  20 min.........................          400
CA-1316.................................        1,100        1,100  10 min.........................          183
CA-1331.................................          750          750  5 min..........................           63
CA-1332.................................        1,500        1,500  30 min.........................          750
CA-1336.................................        2,000        2,000  5 min..........................          167
OWCP-5a.................................        7,000        7,000  15 min.........................        1,750
OWCP-5b.................................        5,000        5,000  15 min.........................        1,250
OWCP-5c.................................       15,000       15,000  15 min.........................        3,750
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      Totals............................      441,855      441,855  ...............................       43,412
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    Total Burden Cost (capital/startup): $0.
    Total Burden Cost (operating/maintenance): $141,394.
    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: May 17, 1996.
Cecily A. Rayburn,
Director, Division of Financial Management, Office of Management, 
Administration and Planning, Employment Standards Administration.
[FR Doc. 96-12846 Filed 5-21-96; 8:45 am]
BILLING CODE 4510-27-M