[Federal Register Volume 64, Number 68 (Friday, April 9, 1999)]
[Notices]
[Page 17418]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-8930]


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DEPARTMENT OF LABOR

Office of the Secretary


Submission for OMB Review; Comment Request

April 2, 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, Acting Departmental 
Clearance Officer, Pauline Perrow (202-219-5096 ext. 165) or by E-Mail 
to Perrow-P[email protected].
    Comments should be sent to Office of Information and Regulatory 
Affairs, Attn: OMB Desk Officer for BLS, DM, ESA, ETA, MSHA, OSHA, 
PWBA, or VETS, 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 (ESA).
    Title: Certification of Funeral Expenses.
    OMB Number: 1215-0027 (Revision).
    Frequency: On-occasion.
    Affected Public: Business or other for-profit.
    Number of Respondents: 195.
    Estimated Time Per Respondent: LS-265 15 minutes.
    Total Burden Hours: 49.
    Total Annualized capital/startup costs: $0.
    Total annual costs (operating/maintaining systems or purchasing 
services): $70.00.
    Description: This form is used to request basic information 
relative to the amount of funeral expenses incurred. The information is 
submitted to OWCP district offices that have responsibility for 
monitoring and processing death cases. The information is usually 
incorporated into a compensation order at the time death benefits are 
ordered paid in a case.
    Agency: Employment Standards Administration (ESA).
    Title: Worker Information--Terms and Conditions of Employment.
    OMB Number: 1215-0187 (Extension).
    Frequency: On-occasion.
    Affected Public: Individuals and households, business or other for-
profit; farms.
    Number of Respondents: 160,000.
    Estimated Time Per Respondent: 32 minutes.
    Total Burden Hours: 85,333.
    Total Annualized Capital/startup costs: $0.
    Total Annual (operating/maintaining): $24,000.
    Description: Form WH-516 is an optional form which a farm labor 
contractor, agricultural employer or agricultural association can use 
to disclose in writing the terms and conditions of employment to 
migrant and seasonal agricultural workers. Although use of the form is 
optional, disclosure of the terms and conditions of employment is 
required by MSPA.
    Agency: Employment Standards Administration (ESA).
    Title: Housing Occupancy Certificate-Migrant and Seasonable 
Agricultural Worker Protection Act.
    OMB Number: 1215-0158 (Revision).
    Frequency: On-occasion.
    Affected Public: Individuals and households; business or other for-
profit; farms.
    Number of Respondents: 60.
    Estimated Time Per Respondent: 3 minutes.
    Total Burden Hours: 4.
    Total Annualized Capital/startup costs: $0.
    Total Annual (operating/maintaining): $0.
    Description: The information collected on Form WH-520 identifies 
the housing for which certification is being requested; the expected 
dates of occupancy of the housing; occupancy rates; and the name, 
address and telephone number of the person(s) who own and/or will 
control the housing when it is occupied. The form is completed by a 
Wage and Hour Division Investigator based upon the oral responses of 
the applicant and an inspection of the housing.
    Agency: Employment Standards Administration (ESA).
    Title: Payment of Compensation Without Award.
    OMB Number: 1215-0022 (Extension).
    Frequency: On-occasion.
    Affected Public: Business or other for-profit.
    Number of Respondents: 900.
    Estimated Time Per Respondent: 15 minutes.
    Total Burden Hours: 6,750.
    Total Annualized Capital/startup costs: $0.
    Total Annual (operating/maintaining): $10,000.
    Description: The LS-206 is a basic claims form which is used by 
insurance carriers and self-insurers to report the start of 
compensation benefits. It requests only basic data relating to the 
compensation benefits which are to be paid.
    Agency: Employment Standards Administration (ESA).
    Title: Notice of Controversion of Right to Compensation.
    OMB Number: 1215-0023 (Extension).
    Frequency: On-occasion.
    Affected Public: Business or other profit.
    Number of Respondents: 900.
    Estimated Time Per Respondent: 15 minutes.
    Total Burden Hours: 4,500.
    Total Annualized Capital/startup costs: $0.
    Total Annual (operating/maintaining): $7,000.
    Description: This LS-207 form is a basic claims form which is used 
by insurance carriers and self-insurers to controvert compensation 
benefits. It requests only basic data relating to the reason(s) that 
benefits are not paid.
Pauline Perrow,
Acting Department Clearance Officer.
[FR Doc. 99-8930 Filed 4-8-99; 8:45 am]
BILLING CODE 4510-27-M