[Federal Register Volume 64, Number 62 (Thursday, April 1, 1999)]
[Notices]
[Pages 15818-15819]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-7834]


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DEPARTMENT OF LABOR

Office of the Secretary


Submission for OMB Review; Comment Request

March 25, 1999.
    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 (Pub. L. 104-13, 44 U.S.C. Chapter 35). A copy of 
each individual ICR, with applicable supporting documentation, may be 
obtained by calling the Department of Labor, Departmental Clearance 
Officer, Pauline Perrow ({202} 219-5096, ext. 143), or by E-Mail to 
Perrow-P[email protected].
    Comments should be sent to Office of Information and Regulatory 
Affairs, Attn: OMB Desk Officers for BLS, DM, ESA, ETA, MSHA, OSHA, 
PWBA, or VETS, Office of Management and Budget, Room 10235, Washington, 
DC 20503 ({202} 395-7316), on or before May 3, 1999.
    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 
electronics submission of responses.
    Agency: Employment Standards Administration.
    Title: Claim for Continuance of Compensation.
    OMB Number: 1215-0154 (Extension).
    Frequency: Annually.
    Affected Public: Individuals or households.
    Number of Respondents: 6,054.
    Estimated Time Per Respondent: \1/12\ of an hour.
    Total Burden Hours: 505.
    Total Annualized capital/startup costs: 0.
    Total annual costs (operating/maintaining systems or purchasing 
services): $2,000.
    Description: This form 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. The information provided is used by OWCP claims 
examiners to ensure that death benefits being paid are correct, and 
that payments are not made to ineligible survivors.

    Agency: Employment Standards Administration.
    Title: (1) Miner's Claim for Benefits Under the Black Lung Benefits 
Act; (2) Employment History; (3) Miner Reimbursement Form.
    OMB Number: 1215-0052 (Extension).
    Frequency: On-occasion.
    Affected Public: Individuals or households; Business or other for-
profit.
    Number of Respondents: 20,200.
    Estimated Time Per Respondent:

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                                                                      Minutes       Respondents        Hours
----------------------------------------------------------------------------------------------------------------
                                     CM-911                                   45           4,800           3,600
                                     CM-911a                                  40           5,900           3,933
                                     CM-915                                   10           9,500           1,583
----------------------------------------------------------------------------------------------------------------

    Total Burden Hours: 9,116.
    Total Annualized capital/startup costs: 0.
    Total annual costs (operating/maintaining systems or purchasing 
services): $4,000.
    Description: CM-911 A miner who applies for black lung benefits 
must complete the CM-911 (applicant form). The completed form gives 
basic identifying information about the applicant, the years of coal 
mine employment, dependents, earned income and income received from 
state workers' compensation as a result of pneumoconiosis.
    CM-915 of the standard data collection form completed by miner 
payees when requesting reimbursement for black lung related medical 
services that are covered under the program. Miner payees, i.e., 
miners, authorized survivors and representatives, are entitled to 
reimbursement for out-of-pocket medical expenses incurred as a result 
of treatment for a black lung related condition.
    CM-915 provides a systematic approach for gathering data essential 
to processing miner submitted medical bills in accordance with the 
program objectives.

    Agency: Employment Standards Administration.
    Title: Pre-Hearing Statement.
    OMB Number: 1215-0085 (Extension).
    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 Annualized capital/startup costs: 0.
    Total annual costs (operating/maintaining systems or purchasing 
services): $2,500.
    Description: This form is used to refer cases for formal hearings 
under the Act. The information obtained is used to establish and 
clarify the issues involved. The information is used by OWCP district 
offices to prepare cases for hearing.

    Agency: Employment Standards Administration.
    Title: Overpayment Recover Questionnaire.
    OMB Number: 1215-0144 (Extension).
    Frequency: On-Occasion.
    Affected Public: Individuals or households.
    Number of Respondents: 4,500.
    Estimated Time Per Respondent: one hour each.
    Total Burden Hours: 4,500 (FECA: 3,500 and Black Lung 1,000).
    Total Annualized capital/startup costs: 0.
    Total annual costs (operating/maintaining systems or purchasing 
services): 2,000.
    Description: The information on this form is used by OWCP examiners 
to ascertain the financial condition of the beneficiary to see if the 
overpayment or

[[Page 15819]]

any part can be recovered; to identify the possible concealment or 
improper transfer of assets; and to identify and consider present and 
potential income and current assets for enforced collection 
proceedings.

    Agency: Employment Standards Administration.
    Title: Applications to Employ Special Industrial Home workers and 
Workers with Disabilities.
    OMB Number: 1215-0005 (Extension).
    Frequency: On-Occasion.
    Affected Public: Individuals of households; Business or other for 
profit; Not-for-Profit institutions; Farms; State, Local, or Tribal 
Government.
    Number of Respondents: 8,600.
    Estimated Time Per Respondent:

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                                                                                      Minutes       Respondents
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                                          WH-2                                                30             100
                                          WH-226-MIS                                          45           8,500
                                          WH-226A-MIS                                         45          *8,500
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* A total of 20,000 copies of this form will be completed by 8,500 respondents.

    Total Burden Hours: 21,425.
    Total Annualized capital/startup costs: 0.
    Total annual costs (operating/maintaining systems or purchasing 
services): 3,000.
    Description: The WH-2 is used by employers to obtain certificates 
to employ individual Home workers in one of the restricted homework 
industries: knitted outerwear, women's apparel, jewelry manufacturing, 
gloves and mittens, button and buckle manufacturing, handkerchief 
manufacturing and embroideries. Upon application by the home worker and 
the employer, certificates may be issued to the employer authorizing 
employment of an individual home worker, provided it is shown that the 
worker is unable to adjust to factory work because of age and physical 
or mental disability or is unable to leave home because the worker is 
required to care for an invalid in the home . . . etc.
    The WH-226 and the supplemental data form WH-226A-MIS are used by 
employers to obtain authorization to employ workers with disabilities 
in competitive employment, in sheltered workshops, and in hospitals or 
institutions at subminimum wages which are commensurate with those paid 
to nondisabled workers.
Pauline D. Perrow,
Acting Departmental Clearance Officer.
[FR Doc. 99-7834 Filed 3-31-99; 8:45 am]
BILLING CODE 4510-29-M