[Federal Register Volume 69, Number 78 (Thursday, April 22, 2004)]
[Notices]
[Pages 21863-21864]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-9121]


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DEPARTMENT OF LABOR

Office of the Secretary


Submission for OMB Review; Comment Request

April 13, 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: Medical Travel Refund Request.

[[Page 21864]]

    OMB Number: 1215-0054.
    Frequency: On occasion.
    Affected Public: Individuals or households.
    Number of Respondents: 52,221.
    Number of Annual Responses: 52,221.
    Estimated Time Per Response: 10 minutes.
    Burden Hours Total: 8,669.
    Total annualized capital/startup costs: $0.
    Total annual costs (operating/maintaining systems or purchasing 
services): $21,000.
    Description: This collection is used by the Office of Workers' 
Compensation Programs (OWCP) and contractor bill processing staff to 
process reimbursement requests for travel expenses. To enable OWCP and 
its contractor bill processing staff to consider the appropriateness of 
the request in a timely fashion, it is essential the request include 
all of the data elements needed to evaluate the request. If all the 
data elements required by OWCP are not collected, the contractor staff 
cannot process the request for reimbursement.

Ira L. Mills,
Departmental Clearance Officer.
[FR Doc. 04-9121 Filed 4-21-04; 8:45 am]
BILLING CODE 4510-CH-P