[Federal Register Volume 69, Number 66 (Tuesday, April 6, 2004)]
[Notices]
[Pages 18139-18140]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-7743]


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DEPARTMENT OF LABOR

Employment Standards Administration


Proposed Collection; Comment Request

ACTION: Notice.

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SUMMARY: The Department of Labor, as part of its continuing effort to 
reduce paperwork and respondent burden, conducts a preclearance 
consultation program to provide the general public and Federal agencies 
with an opportunity to comment on proposed and/or continuing 
collections of

[[Page 18140]]

information in accordance with the Paperwork Reduction Act of 1995 
(PRA95) [44 U.S.C. 3506(c)(2)(A)]. This program helps to ensure that 
requested data can be provided in the desired format, reporting burden 
(time and financial resources) is minimized, collection instruments are 
clearly understood, and the impact of collection requirements on 
respondents can be properly assessed. Currently, the Employment 
Standards Administration is soliciting comments concerning the proposed 
collection: Employer's First Report of Injury or Occupational Disease 
(LS-202), Physician's Report of Impairment of Vision (LS-205) and 
Employer's Supplementary Report of Accident or Occupational Illness 
(LS-210). A copy of the proposed information collection request can be 
obtained by contacting the office listed below in the addresses section 
of this Notice.

DATES: Written comments must be submitted to the office listed in the 
addresses section below on or before June 7, 2004.

ADDRESSES: Ms. Hazel M. Bell, U.S. Department of Labor, 200 
Constitution Ave., NW., Room S-3201, Washington, DC 20210, telephone 
(202) 693-0418, fax (202) 693-1451, E-mail [email protected]. Please 
use only one method of transmission for comments (mail, fax, or Email).

SUPPLEMENTARY INFORMATION

I. Background

    The Longshore and Harbor Workers' Compensation Act provides 
benefits to workers injured in maritime employment on the navigable 
waters of the United States and adjoining area customarily used by an 
employee in loading, unloading, repairing, or building a vessel. The 
LS-202 is used by employers initially to report injuries that have 
occurred which are covered under the Longshore Act and its related 
statutes. The LS-210 is used to report additional periods of lost time 
from work. The LS-205 is a medical report based on a comprehensive 
examination of visual impairment. This information collection is 
currently approved for use through October 31, 2004.

II. Review Focus

    The Department of Labor 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 submissions of responses.

III. Current Actions

    The Department of Labor seeks the extension of approval of this 
information collection in order to ensure that employers are complying 
with the reporting requirements of the Act and to ensure that injured 
claimants receive all compensation benefits to which they are entitled.
    Type of Review: Extension.
    Agency: Employment Standards Administration.
    Title: Employer's First Report of Injury or Occupational Disease 
(LS-202); Physician's Report on Impairment of Vision (LS-205); 
Employer's Supplementary Report of Accident or Occupational Illness 
(LS-210).
    OMB Number: 1215-0031.
    Agency Number: LS-202, LS-205, LS-210.
    Affected Public: Individuals or households; Business or other for-
profit, Not-for-profit institutions.
    Total Respondents: 21,060.
    Total Annual responses: 23,220.

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                                                      Total
                      Form                        respondents:       Average time per response      Burden hours
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LS-202..........................................        21,000  15 minutes........................         5,250
LS-205..........................................            60  45 minutes........................            45
LS-210..........................................         2,160  15 minutes........................           540
                                                 --------------                                    -------------
    Total.......................................        23,220  ..................................         5,835
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    Estimated Total Burden Hours: 5,835.
    Frequency: On occasion.
    Total Burden Cost (capital/startup): $0.
    Total Burden Cost (operating/maintenance): $10,333.00.
    Comments submitted in response to this notice will be summarized 
and/or included in the request for Office of Management and Budget 
approval of the information collection request; they will also become a 
matter of public record.

    Dated: April 1, 2004.
Sue Blumenthal,
Acting Chief, Branch of Management Review and Internal Control, 
Division of Financial Management, Office of Management, Administration 
and Planning, Employment Standards Administration.
[FR Doc. 04-7743 Filed 4-5-04; 8:45 am]
BILLING CODE 4510-CF-P