[Federal Register Volume 68, Number 74 (Thursday, April 17, 2003)]
[Notices]
[Page 19011]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-9448]


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DEPARTMENT OF LABOR

Office of the Secretary


Submission for OMB Review; Comment Request

April 10, 2003.
    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 
this ICR, with applicable supporting documentation, may be obtained by 
calling the Department of Labor. To obtain documentation contact Darrin 
King on (202) 693-4129 or E-Mail: [email protected].
    Comments should be sent to Office of Information and Regulatory 
Affairs, Attn: OMB Desk Officer for ESA, 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:
    [sbull] 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;
    [sbull] 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;
    [sbull] Enhance the quality, utility, and clarity of the 
information to be collected; and
    [sbull] 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 Agency (ESA).
    Type of Review: New collection.
    Title: Statement Recovery Forms.
    OMB Number: 1215-0NEW.
    Affected Public: Business or other for-profit and Individuals or 
households.
    Frequency: As needed.
    Number of Respondents: 3,200.

------------------------------------------------------------------------
                                                  Average       Annual
              Form                   Annual      response       burden
                                   responses   time (hours)     hours
------------------------------------------------------------------------
CA/EN-1108......................        2,720          0.5         1,360
EB/EN-1108......................          160          0.5            80
CA/EN-1122......................          320          0.25           80
                                 --------------
    Total.......................        3,200  ............        1,520
------------------------------------------------------------------------

    Total Annualized Capital/Startup Costs: $0.
    Total Annual Costs (operating/maintaining systems or purchasing 
services): $1,280.
    Description: The information collected through Forms CA/EN-1108, 
EB/EN-1108 and CA/EN-1122 will be used by the U.S. Department of Labor 
to determine the amount of refund due to the United States out of the 
proceeds of an action asserted by an injured Federal employee against a 
liable third party for a compensable injury.

Ira L. Mills,
Departmental Clearance Officer.
[FR Doc. 03-9448 Filed 4-16-03; 8:45 am]
BILLING CODE 4510-CH-P