[Federal Register Volume 69, Number 117 (Friday, June 18, 2004)]
[Notices]
[Pages 34192-34193]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-13754]


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DEPARTMENT OF LABOR

Office of the Secretary


Submission for OMB Review: Comment Request

June 14, 2004.
    The Department of Labor (DOL) has submitted the following public 
information collection requests (ICRs) 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 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:
     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 currently approved collection.
    Title: Survivor's Form for Benefits.
    OMB Number: 1215-0069.
    Frequency: One-time.
    Type of Response: Reporting.
    Affected Public: Individuals or households.
    Number of Respondents: 2,800.
    Annual Responses: 2,800.
    Average Response Time: 8 minutes.
    Total Annual Burden Hours: 373.
    Total Annualized capital/startup costs: $0.
    Total Annual Costs (operating/maintaining systems or purchasing 
services): $800.
    Description: This collection of information is required to 
administer the benefit payment provisions of the Black Lung Act for 
survivors of deceased miners. Form CM-912 is authorized for use by the 
Black Lung Benefits Act 30 U.S.C. 901, et seq., 20 CFR 410.221 and CFR 
725.304. Completion of Form CM-912 constitutes the application for 
benefits by survivors and assists in determining the survivor's 
entitlement to benefits.
    Agency: Employment Standards Administration.
    Type of Review: Extension of currently approved collection.
    Title: Notice of Law Enforcement Officer's Injury or Occupational 
Disease (CA-721); Notice of Law Enforcement Officer's Death (CA-722).
    OMB Number: 1215-0116.
    Frequency: On occasion.
    Type of Response: Reporting.
    Affected Public: Individuals or households; Business or other for-
profit; and State, local, or tribal government.
    Number of Respondents: 23.

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                                                                                      Average
                              Form                                    Annual       response time   Annual burden
                                                                     responses        (hours)          hours
----------------------------------------------------------------------------------------------------------------
CA-721..........................................................               8              60               8
CA-722..........................................................              15              90              23
                                                                 -----------------
    Total.......................................................              23  ..............              31
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    Total Annualized capital/startup costs: $0.
    Total Annual Costs (operating/maintaining systems or purchasing 
services): $9.
    Description: The Notice of Law Enforcement Officer's Injury or 
Occupational Disease (CA-721) and the Notice of Law Enforcement 
Officer's Death (CA-722) are the forms used by non-Federal law 
enforcement officers and their survivors to claim compensation under 
the Federal Employees' Compensation Act. The associated regulations are 
at 20 CFR 10.735.
    Agency: Employment Standards Administration.
    Type of Review: Extension of currently approved collection.
    Title: 29 CFR Part 575--Waiver of Child Labor Provisions for 
Agricultural Employment of 10 and 11 Year Old Minors in Hand Harvesting 
of Short Season Crops.
    OMB Number: 1215-0120.
    Frequency: On occasion.
    Type of Response: Reporting and Recordkeeping.
    Affected Public: Individuals or households and Farms.
    Number of Respondents: 1.
    Annual Responses: 1.
    Average Response Time: 4 hours.
    Total Annual Burden Hours: 4.
    Total Annualized capital/startup costs: $0.
    Total Annual Costs (operating/maintaining systems or purchasing 
services): $0.
    Description: Background: Section 13(c)(4) of the Fair Labor 
Standards Act (FLSA), 29 U.S.C. 201 et seq., authorizes the Secretary 
of Labor to grant a waiver

[[Page 34193]]

of child labor provisions of the FLSA for the agricultural employment 
of 10 and 11 year old minors in the hand harvesting of short season 
crops if specific requirements and conditions are met. The Act requires 
that all employers who are granted such waivers keep on file a signed 
statement of the parent or person standing in the place of the parent 
of each 10 and 11 year old minor, consenting to their employment, along 
with a record of the name and address of the school in which the minor 
is enrolled.

Darrin A. King,
Acting Departmental Clearance Officer.
[FR Doc. 04-13754 Filed 6-17-04; 8:45 am]
BILLING CODE 4510-23-P