[Federal Register Volume 70, Number 85 (Wednesday, May 4, 2005)]
[Notices]
[Pages 23229-23230]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-8847]


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DEPARTMENT OF LABOR

Office of the Secretary


Submission for OMB Review: Comment Request

April 27, 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:

[[Page 23230]]

     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 particular 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: Rehabilitation Plan and Award.
    OMB Number: 1215-0067.
    Form Number: OWCP-16.
    Frequency: On occasion.
    Type of Response: Reporting.
    Affected Public: Business and other for-profit and Individuals or 
households.
    Number of Respondents: 7,000.
    Annual Responses: 7,000.
    Average Response Time: 30 minutes.
    Total Annual Burden Hours: 3,500.
    Total Annualized capital/startup costs: $0.
    Total Annual Costs (operating/maintaining systems or purchasing 
services): $0.
    Description: The Office of Workers' Compensation Programs (OWCP) is 
the agency responsible for administration of the Longshore and Harbor 
Workers' Compensation Act; 33 U.S.C. 901 et seq., and the Federal 
Employees' Compensation Act, 5 U.S.C. 8101 et seq. Both of these Acts 
authorize OWCP to pay for approved vocational rehabilitation services 
to eligible workers with work-related disabilities. OWCP must receive 
the signatures of the worker and the rehabilitation counselor to show 
that the worker agrees to follow the proposed plan, and that the 
proposed plan is appropriate. The OWCP-16 is the standard format for 
the collection of information needed to approve proposed vocational 
rehabilitation services. Form OWCP-16 serves to document the agreed 
upon plan for rehabilitation services submitted by the injured worker 
and vocational rehabilitation counselor, the costs involved, and OWCP's 
award of payment from funds provided for rehabilitation. Form OWCP-16 
summarizes the costs of the rehabilitation plan to enable OWCP to make 
a prompt decision on funding.
    Agency: Employment Standards Administration.
    Type of Review: Extension of currently approved collection.
    Title: Report of Changes That May Affect Your Black Lung Benefits.
    OMB Number: 1215-0084.
    Form Number: CM-929.
    Frequency: Biannually.
    Type of Response: Reporting.
    Affected Public: Individuals or households.
    Number of Respondents: 51,000.
    Annual Responses: 51,000.
    Average Response Time: 5 to 8 minutes.
    Total Annual Burden Hours: 4,505.
    Total Annualized Capital/Startup Costs: $0.
    Total Annual Costs (operating/maintaining systems or purchasing 
services): $0.
    Description: The Federal Mine Safety and Health Act of 1977 as 
amended, 30 U.S.C. 941, and 20 CFR 725.533(e) authorizes the Division 
of Coal Mine Workers' Compensation to pay compensation to coal miner 
beneficiaries. Once a miner or survivor is found eligible for benefits, 
the primary beneficiary is requested to report certain changes that may 
affect black lung benefits. The CM-929 is used to help determine 
continuing eligibility of primary beneficiaries receiving black lung 
benefits from the Black Lung Disability Trust Fund. The CM-929 is 
completed by the beneficiary to report factors that may affect his or 
her benefits, including income, marital status, receipt of state 
workers' compensation and dependents' status.
    Agency: Employment Standards Administration.
    Type of Review: Extension of currently approved collection.
    Title: Housing Occupancy Certificate--Migrant and Seasonal 
Agricultural Worker Protection Act.
    OMB Number: 1215-0158.
    Form Number: WH-520.
    Frequency: On occasion.
    Type of Response: Reporting; Recordkeeping; and Third party 
disclosure.
    Affected Public: Farms and Business or other for-profit.
    Number of Respondents: 300.
    Annual Responses: 300.
    Average Response Time: 3 minutes to complete the form and 1 minute 
to post a certification.
    Total Annual Burden Hours: 20.
    Total Annualized Capital/Startup Costs: $0.
    Total Annual Costs (operating/maintaining systems or purchasing 
services): $0.
    Description: Section 203(b)(1) of the Migrant and Seasonal 
Agricultural Worker Protection Act, 29 U.S.C. 1801, et seq., and 
Regulation 29 CFR 500.135(b) provide that any person who owns or 
controls a facility or real property to be used for housing migrant 
agricultural workers shall not permit such housing to be occupied by 
any worker unless a copy of the certificate of occupancy from the 
state, local, or federal agency that conducted the housing safety and 
health inspection is posted at the site of the facility or real 
property. Form WH-520 is both an information gathering form and the 
certificate of occupancy that the DOL issues when it is the federal 
agency conducting the safety and health inspection.

Ira L. Mills,
Departmental Clearance Officer.
[FR Doc. 05-8847 Filed 5-3-05; 8:45 am]
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