[Federal Register Volume 64, Number 161 (Friday, August 20, 1999)]
[Notices]
[Pages 45572-45573]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-21698]


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DEPARTMENT OF LABOR

Office of the Secretary


Submission for OMB Review; Comment Request

August 16, 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 documentations, may 
be obtained by calling the Department of Labor, Departmental Clearance 
Officer, Ira Mills (202) 219-5096, ext. 143), or by e-Mail to Mills-
I[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.
    Title: FECA Medical Report Forms.
    OMB Number: 1215-0103.
    Frequency: As needed.
    Affected Public: Federal Government; Individuals or households; 
business or other for-profit.
    Number of Respondents: 302,628.

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                              Forms                                 Respondents    Per response    Burden hours
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CA-7............................................................             400              13              87
CA-16b..........................................................         130,000               5          10,833
CA-17b..........................................................          60,000               5           5,000
CA-20...........................................................          80,000               5           6,667
CA-1090.........................................................             325               5              27
CA-1303.........................................................           3,000              20           1,000
CA-1305.........................................................              10              20               3
CA-1306.........................................................               3              10              .5
CA-1314.........................................................             125              20              42
CA-1316.........................................................              15              10             2.5
CA-1331.........................................................             250               5              21
CA-1332.........................................................             500              30             250
CA-1336.........................................................           1,000               5              83
OWCP-5a.........................................................           7,000              15           1,750
OWCP-5b.........................................................           5,000              15           1,250
OWCP-5c.........................................................          15,000              15           3,750
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[[Page 45573]]

    Total annualized capital/startup costs: 0.
    Total annual costs (operating/maintaining systems or purchasing 
services): $109.
    Description: These forms are used filing claims for wage loss or 
permanent impairment due to a Federal employment related injury, and to 
obtain necessary medical documentation to determine whether a claimant 
is entitled to benefits under the Federal Employees Compensation Act 
(FECA), 5 U.S.C. 8101 et seq.
Ira L. Mills,
Departmental Clearance Officer.
[FR Doc. 99-21698 Filed 8-19-99; 8:45 am]
BILLING CODE 4510-22-M