[Federal Register Volume 69, Number 205 (Monday, October 25, 2004)]
[Notices]
[Page 62297]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-23801]


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DEPARTMENT OF LABOR

Office of the Secretary


Submission for OMB Review: Comment Request

October 18, 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 
this 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: Application for Continuation of Death Benefit for Student.
    OMB Number: 1215-0073.
    Frequency: On occasion.
    Type of Response: Reporting.
    Affected Public: Individuals or households; business or other for-
profit; and not-for-profit institutions.
    Number of Respondents: 43.
    Annual Responses: 43.
    Average Response Time: 30 minutes.
    Annual Burden Hours: 22.
    Total Annualized capital/startup costs: $0.
    Total Annual Costs (operating/maintaining systems or purchasing 
services): $17.20.
    Description: The Office of Workers' Compensation Programs 
administers the Longshore and Harbor Workers' Compensation Act. The Act 
provides for continuation of death benefits for a child or certain 
other surviving dependents after the age of 18 (to age 23) if the 
dependent qualifies as a student as defined in Section 2 (18) of the 
Act. Regulation 20 CFR 702.121 addresses the use of forms for the 
reporting of required information. The LS-266 is submitted by the 
parent or guardian of the dependent for whom continuation of benefits 
is sought. The statements contained on the form must be verified by an 
official of the educational institution. The information is used by the 
Department of Labor to determine whether a continuation of the benefits 
is justified.

Darrin A. King,
Acting Departmental Clearance Officer.
[FR Doc. 04-23801 Filed 10-22-04; 8:45 am]
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