[Federal Register Volume 69, Number 56 (Tuesday, March 23, 2004)]
[Notices]
[Pages 13589-13590]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-6444]


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DEPARTMENT OF LABOR

Office of the Secretary


Submission for OMB Review; Comment Request

March 12, 2004.
    The Department of Labor (DOL) has submitted the following public 
information collection request (ICR) to the Office of Management and 
Budget

[[Page 13590]]

(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 ICR, with applicable supporting documentation, may be obtained by 
contacting the Department of Labor (DOL). To obtain documentation, 
contact Ira Mills on 202-693-4122 (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 DOL, 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:
     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.
    Type of Review: Extension of a currently approved collection.
    Title: Claim for Compensation by Departments Information Reports.
    OMB Number: 1215-0155.
    Frequency: On occasion; Semi-annually.
    Affected Public: Individuals or households.
    Number of Respondents: 1,880.
    Number of Annual Responses: 1,880.
    Estimated Time Per Response: 15 minutes to 90 minutes.
    Burden Hours Total: 1,077.
    Total annualized capital/startup costs: $0.
    Total annual costs (operating/maintaining systems or purchasing 
services): $0.
    Description: The collection requirements are used by Federal 
employees and their dependents to claim benefits, to prove continued 
eligibility for benefits, to show entitlement to remaining compensation 
payments of a deceased employee, and to show dependency.

Ira L. Mills,
Departmental Clearance Officer.
[FR Doc. 04-6444 Filed 3-22-04; 8:45 am]
BILLING CODE 4510-CF-M