[Federal Register Volume 69, Number 223 (Friday, November 19, 2004)]
[Notices]
[Pages 67761-67762]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-25686]


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DEPARTMENT OF LABOR

Employment Standards Administration


Proposed Collection; Comment Request

ACTION: Notice.

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[[Page 67762]]

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 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: Claim for Continuance of 
Compensation (CA-12). 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 January 18, 2005.

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 e-
mail).

SUPPLEMENTARY INFORMATION

I. Background

    The Office of Workers' Compensation Programs (OWCP) administers the 
Federal Employees' Compensation Act (FECA), 5 U.S.C. 8133. The Act 
provides that eligible dependents of deceased employees receive 
compensation benefits on account of the employee's death. The OWCP 
monitors death benefits for current marital status, potential for dual 
benefits, and other criteria for qualifying as a dependent under the 
law. The CA-12 is sent annually to beneficiaries in death cases to 
ensure that their status has not changed and that they remain entitled 
to benefits. This information collection is currently approved for use 
through May 31, 2005.

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 to collect 
this information to determine eligibility for benefits.
    Type of Review: Revision.
    Agency: Employment Standards Administration.
    Title: Claim for Continuance of Compensation.
    OMB Number: 1215-0154.
    Agency Number: CA-12.
    Affected Public: Individuals or households.
    Total Respondents: 5,450.
    Total Annual Responses: 5,450.
    Average Time per Response: 5 minutes.
    Estimated Total Burden Hours: 454.
    Frequency: Annually.
    Total Burden Cost (Capital/Startup): $0.
    Total Burden Cost (Operating/Maintenance): $2,017.00.
    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: November 15, 2004.
Bruce Bohanon,
Chief, Branch of Management Review and Internal Control, Division of 
Financial Management, Office of Management, Administration and 
Planning, Employment Standards Administration.
[FR Doc. 04-25686 Filed 11-18-04; 8:45 am]
BILLING CODE 4510-CH-P