[Federal Register Volume 68, Number 192 (Friday, October 3, 2003)]
[Notices]
[Pages 57487-57488]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-25108]


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DEPARTMENT OF LABOR

Office of the Secretary


Submission for OMB Review; Comment Request

September 23, 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 (this is not a toll-free number) or e-mail: 
[email protected].
    Comments should be sent to Office of Information and Regulatory 
Affairs, Attn: OMB Desk Officer for the Employment Standards 
Administration (ESA), Office of Management and Budget, Room 10235, 
Washington, DC 20503 (202-395-7316 / this is not a toll-free number), 
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.
    Type of Review: Extension of currently approved collection.
    Agency: Employment Standards Administration.
    Title: Regulations Governing the Administration of the Longshore 
and Harbor Workers' Compensation Act.
    OMB Number: 1215-0160.
    Affected Public: Individuals or households and Business or other 
for-profit.
    Frequency: On occasion and Annually.
    Type of Response: Recordkeeping and Reporting.
    Number of Respondents: 170,564.

[[Page 57488]]



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                                                                                      Average
                     Information Collection                           Annual       Response Time   Annual Burden
                                                                     Responses        (Hours)          Hours
----------------------------------------------------------------------------------------------------------------
LS-200, Report of Earnings......................................          12,800            0.17           2,176
LS-200, Report of Earnings with no earnings information to                 3,200               0               0
 report.........................................................
Liens...........................................................              10             0.5               5
Certifications..................................................               5            0.75               4
Reinstatements..................................................               2             0.5               1
Settlement Applications.........................................           4,500               2           9,000
Section 8(f) Payments...........................................             550               5           2,750
ESA-100 (LS), Annual Report.....................................          42,000            0.02             840
LS-271, Application for Self-Insured Employer...................              20               2              40
LS-274, Report of Injury Experience of Self-Insured Employer....             412               1             412
LS-201, Notice of Employee's Injury of Death....................           4,500            0.25           1,125
LS-513, Report of Payments......................................             900             0.5             450
LS-267, Claimant's Statement....................................           1,300           0.033              43
LS-203, Employee's Claim for Compensation.......................          10,125            0.25           2,531
LS-204, Attending Physician's Supplementary Report..............          90,000             0.5          45,000
LS-262, Claim for Death Benefits................................             240            0.25              60
                                                                 ----------------                ---------------
    Total.......................................................         170,564  ..............          64,437
----------------------------------------------------------------------------------------------------------------

    Total Annualized Capital/Startup Costs: $0.
    Total Annual Costs (operating/maintaining systems or purchasing 
services): $56,984.
    Description: The Longshore and Harbor Workers' Compensation Act, as 
amended (Pub. L. 98-426) pertains to the provision of benefits to 
workers injured in maritime employment on the navigable waters of the 
United States or in an adjoining area customarily used by an employer 
in loading, unloading, repairing, or building a vessel, as well as 
coverage extended to certain other employees. The regulations and 
associated forms cover the submission of information necessary for the 
processing of claims for benefits under the Longshore Act.

Ira L. Mills,
Departmental Clearance Officer.
[FR Doc. 03-25108 Filed 10-2-03; 8:45 am]
BILLING CODE 4510-23-P