[Federal Register Volume 67, Number 188 (Friday, September 27, 2002)]
[Notices]
[Pages 61158-61159]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-24502]


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DEPARTMENT OF LABOR

Office of the Secretary


Submission for OMB Review; Comment Request

September 17, 2002.
    The Department of Labor (DOL) has submitted the following public 
information collection request (ICR) 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. To obtain documentation 
contact Marlene Howze at ((202) 693-4158 or e-mail [email protected].
    Comments should be sent to Office of Information and Regulatory 
Affairs, Attn: OMB Desk Officer for ESA, Office

[[Page 61159]]

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 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.
    Type of Review: Extension of a currently approved collection.
    Agency: Employment Standards Administration (ESA).
    Title: Request for Examination and/or Treatment.
    OMB Number: 1215-0066.
    Affected Public: Individuals or households.
    Frequency: On occasion.
    Number of Respondents: 16,500.
    Number of Annual Responses: 109,725.
    Estimated Time Per Response: 1.08 minutes.
    Total Burden Hours: 118,503.
    Total Annualized Capital/Startup Costs: $0.
    Total Annual Costs (operating/maintaining systems or purchasing 
services): $43,890.
    Description: The Office of Workers' Compensation Programs 
administers the Longshore and Harbor Workers' Compensation Act. The Act 
provides benefits to workers injured in maritime employment on the 
navigable waters of the United States or in an adjoining area 
customarily used by an employee in loading, unloading, repairing or 
building a vessel. Under Section 7 of the Longshore Act, the employer/
insurance carrier is responsible for furnishing medical care for the 
injured employee for such period of time as the injury or recovery 
period may require. Form LS-1 is used by the Longshore Division to 
verify that proper medical treatment had been authorized and to 
determine the severity of a claimant's injuries and thus his/her 
entitlement to compensation benefits which they are responsible by law 
to provide if a claimant is medically unable to work as a result of a 
war-related injury. If the information were not collected, verification 
of authorized medical care and entitlement to compensation benefits 
would not be possible.

Ira L. Mills,
Departmental Clearance Officer.
[FR Doc. 02-24502 Filed 9-26-02; 8:45 am]
BILLING CODE 4510-CF-M