[Federal Register Volume 73, Number 81 (Friday, April 25, 2008)]
[Notices]
[Pages 22432-22433]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E8-9097]


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DEPARTMENT OF LABOR

Office of the Secretary


Submission for OMB Review: Comment Request

April 22, 2008.
    The Department of Labor (DOL) hereby announces the submission of 
the following public information collection requests (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 each ICR, with applicable supporting 
documentation, including among other things a description of the likely 
respondents, proposed frequency of response, and estimated total burden 
may be obtained from the RegInfo.gov Web site at http://www.reginfo.gov/public/do/PRAMain or by contacting Darrin King on 202-
693-4129 (this is not a toll-free number)/e-mail: [email protected].
    Interested parties are encouraged to send comments to the Office of 
Information and Regulatory Affairs, Attn: Bridget Dooling, OMB Desk 
Officer for the Employment Standards Administration (ESA), Office of 
Management and Budget, Room 10235, Washington, DC 20503, Telephone: 
202-395-7316/Fax: 202-395-6974 (these are not toll-free numbers), E-
mail: [email protected] within 30 days from the date of this 
publication in the Federal Register. In order to ensure the appropriate 
consideration, comments should reference the OMB Control Number (see 
below).
    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 without change of a currently approved 
collection.
    Title of Collection: Request for Examination and/or Treatment.
    OMB Control Number: 1215-0066.
    Form Numbers: LS-1.
    Total Estimated Number of Respondents: 25,000.
    Total Estimated Annual Burden Hours: 81,000.
    Total Estimated Annual Cost Burden: $3,558,000.
    Affected Public: Individuals or households.
    Description: The information collected on Form LS-1 is used by the 
Department's Longshore Division to verify that proper medical treatment 
has been authorized by the employer/insurance carrier, and to determine 
the severity of a claimant's injuries and thus his/her entitlement to 
compensation benefits. The employers/insurance carriers are responsible 
by law to provide these benefits if a claimant is medically unable to 
work as a result of a work-related injury. If the information were not 
collected, verification of authorized medical care and entitlement to 
compensation benefits would not be possible. For additional 
information, see related notice published at 73 FR 2947 on January 16, 
2008.

    Agency: Employment Standards Administration.
    Type of Review: Extension without change of a currently approved 
collection.
    Title of Collection: Rehabilitation Plan and Award.
    OMB Control Number: 1215-0067.
    Form Numbers: OWCP-16.
    Total Estimated Number of Respondents: 7,000.
    Total Estimated Annual Burden Hours: 3,500.
    Total Estimated Annual Cost Burden: $0.
    Affected Public: Business or other for-profit.
    Description: Form OWCP-16 serves to document the agreed upon plan 
for rehabilitation services submitted by the injured worker and 
vocational rehabilitation counselor, and OWCP's award of payment from 
funds provided for rehabilitation. For additional information, see 
related notice published at 73 FR 2946 on January 16, 2008.

    Agency: Employment Standards Administration.
    Type of Review: Revision of a currently approved collection.
    Title of Collection: Report of Changes That May Affect Your Black 
Lung Benefits.
    OMB Control Number: 1215-0084.
    Form Numbers: CM-929 and CM-929P.
    Total Estimated Number of Respondents: 70,000.
    Total Estimated Annual Burden Hours: 15,269.
    Total Estimated Annual Cost Burden: $0.
    Affected Public: Individuals or households.
    Description: The CM-929 is used to help determine continuing 
eligibility of primary beneficiaries receiving black lung benefits from 
the Black Lung Disability Trust Fund. For additional information, see 
related notice published at 72 FR 70616 on December 12, 2007.

    Agency: Employment Standards Administration.

[[Page 22433]]

    Type of Review: Extension without change of a currently approved 
collection.
    Title of Collection: Claim adjudication process for alleged 
presence of pneumoconiosis.
    OMB Control Number: 1215-0090.
    Form Numbers: CM-933; CM-933B; CM-988; CM-1159; and CM-2907.
    Total Estimated Number of Respondents: 17,500.
    Total Estimated Annual Burden Hours: 4,259.
    Total Estimated Annual Cost Burden: $0.
    Affected Public: Business or other for-profits.
    Description: 20 CFR 718 specifies that certain information relative 
to the medical condition of a claimant who is alleging the presence of 
pneumoconiosis be obtained as a routine function of the claim 
adjudication process. The medical specifications in the regulations 
have been formatted in a variety of forms to promote efficiency and 
accuracy in gathering the required data. These forms were designed to 
meet the need to gather medical evidence. For additional information, 
see related notice published at 73 FR 5592 on January 30, 2008.

    Agency: Employment Standards Administration.
    Type of Review: Extension without change of a currently approved 
collection.
    Title of Collection: Claim for Continuance of Compensation.
    OMB Control Number: 1215-0154.
    Form Numbers: CA-12.
    Total Estimated Number of Respondents: 4,850.
    Total Estimated Annual Burden Hours: 403.
    Total Estimated Annual Cost Burden: $1,988.
    Affected Public: Individuals or households.
    Description: The Office of Workers' Compensation Programs (OWCP) 
administers the Federal Employees' Compensation Act, 5 U.S.C. 8133. 
Under the Act, eligible dependents of deceased employees receive 
compensation benefits on account of the employee's death. OWCP has to 
monitor death benefits for current marital status, potential for dual 
benefits, and other criteria for qualifying as a dependent under the 
law. The Form 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. In most cases, it is a matter of ensuring that a widow, 
widower, or child is still living and has not married so as to make 
them ineligible. The Form CA-12 is established for this purpose under 
20 CFR 10.414. For additional information, see related notice published 
at 72 FR 69230 on December 7, 2007.

    Agency: Employment Standards Administration.
    Type of Review: Extension without change of a currently approved 
collection.
    Title of Collection: Housing Occupancy Certificate--Migrant and 
Seasonal Agricultural Worker Protection Act.
    OMB Control Number: 1215-0158.
    Form Numbers: WH-520.
    Total Estimated Number of Respondents: 100.
    Total Estimated Annual Burden Hours: 7.
    Total Estimated Annual Cost Burden: $0.
    Affected Public: Farms.
    Description: Any person who owns or controls a facility or real 
property to be used for housing migrant agricultural workers cannot 
permit any such worker to occupy the housing unless a copy of a 
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. 29 U.S.C. 1823(b)(1); 29 CFR 
500.135(b). The certificate attests that the facility or real property 
meets applicable safety and health standards. For additional 
information, see related notice published at 72 FR 70617 on December 
12, 2007.

    Agency: Employment Standards Administration.
    Type of Review: Extension without change of a currently approved 
collection.
    Title of Collection: Notice of Recurrence.
    OMB Control Number: 1215-0167.
    Form Numbers: CA-2a.
    Total Estimated Number of Respondents: 680.
    Total Estimated Annual Burden Hours: 340.
    Total Estimated Annual Cost Burden: $299.
    Affected Public: Individuals or households.
    Description: The Office of Workers' Compensation Programs 
administers the Federal Employees' Compensation Act, (5 U.S.C. 8101, et 
seq.), which provides for continuation of pay or compensation for work 
related injuries or disease that result from Federal Employment. 
Regulation 20 CFR 10.104 designates Form CA-2a as the form to be used 
to request information from claimants with previously accepted injuries 
who claim a recurrence of disability, and from their supervisors. The 
form requests information relating to the specific circumstances 
leading up to the recurrence as well as information about their 
employment and earnings. For additional information, see related notice 
published at 72 FR 71699 on December 18, 2007.

Darrin A. King,
Acting Departmental Clearance Officer.
 [FR Doc. E8-9097 Filed 4-24-08; 8:45 am]
BILLING CODE 4510-CF-P