[Federal Register Volume 69, Number 73 (Thursday, April 15, 2004)]
[Notices]
[Page 20039]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-8556]


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DEPARTMENT OF LABOR

Office of the Secretary


Submission for OMB Review; Comment Request

April 8, 2004.
    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 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 Reimbursement-Assisted Reemployment.
    OMB Number: 1215-0178.
    Frequency: Quarterly.
    Affected Public: Business or other for-profit; not for-profit 
institutions.
    Number of Respondents: 20.
    Number of Annual Responses: 80.
    Estimated Time Per Response: 30 minutes.
    Burden Hours Total: 40.
    Total annualized capital/startup costs: $0.
    Total annual costs (operating/maintaining systems or purchasing 
services): $0.
    Description: The information collected on Form CA-2231 provides the 
Office of Workers' Compensation Programs (OWCP) with the necessary 
remittance information for the employer to document the hours of work, 
certify the payment of wages to the claimant for which reimbursement is 
sought, and summarize the nature and costs of the wage reimbursement 
program for a prompt decision by OWCP.

Ira L. Mills,
Departmental Clearance Officer.
[FR Doc. 04-8556 Filed 4-14-04; 8:45 am]
BILLING CODE 4510-28-P