[Federal Register Volume 70, Number 66 (Thursday, April 7, 2005)]
[Notices]
[Page 17718]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-6921]


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DEPARTMENT OF LABOR

Office of the Secretary


Submission for OMB Review: Comment Request

March 24, 2005.
    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 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: Pre-Hearing Statement.
    OMB Number: 1215-0085.
    Form Number: LS-18.
    Frequency: On occasion.
    Type of Response: Reporting.
    Affected Public: Business and other for-profit and Individuals or 
households.
    Number of Respondents: 5,400.
    Annual Reponses: 5,400.
    Average Response Time: 10 minutes.
    Total Annual Burden Hours: 918.
    Total Annualized capital/startup costs: $0.
    Total Annual Costs (operating/maintaining systems or purchasing 
services): $2,221.
    Description: The Office of Workers' Compensation Programs 
administers the Longshore and Harbor Workers' Compensation Act (the 
Act). The Act provides benefits to workers injured in maritime 
employment on the navigable waters of the United States or in an 
adjoining area customarily used by an employer in loading, unloading, 
repairing, or building a vessel. Title 20, CFR 702.317 provides for the 
referral of claims under the Longshore Act for formal hearings. The LS-
18 is used to refer cases to the Office of the Administrative Law 
Judges for formal hearings under the Act.

    Agency: Employment Standards Administration.
    Type of Review: Extension of currently approved collection.
    Title: Claim for Continuance of Compensation.
    OMB Number: 1215-0154.
    Form Number: CA-12.
    Frequency: Annually.
    Type of Response: Reporting.
    Affected Public: Individuals or households.
    Number of Respondents: 5,450.
    Annual Reponses: 5,450.
    Average Response Time: 5 minutes.
    Total Annual Burden Hours: 454.
    Total Annualized capital/startup costs: $0.
    Total Annual Costs (operating/maintaining systems or purchasing 
services): $2,017.
    Description: The Office of Workers' Compensation Programs (OWCP) 
administers the Federal Employees' Compensation Act (FECA), 5 U.S.C. 
8133. FECA 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.

Ira L. Mills,
Departmental Clearance Officer.
[FR Doc. 05-6921 Filed 4-6-05; 8:45 am]
BILLING CODE 4510-CF-P