[Federal Register Volume 73, Number 153 (Thursday, August 7, 2008)]
[Notices]
[Pages 46036-46037]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E8-18054]


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DEPARTMENT OF LABOR

Office of the Secretary


Submission for OMB Review: Comment Request

July 31, 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: 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: FECA Medical Report Forms, Claim for 
Compensation.
    OMB Control Number: 1215-0103.
    Form Numbers: CA-7; CA-17; CA-16; CA-20; CA-1331; CA-1332; OWCP-5A; 
OWCP-5B; and OWCP-5C.
    Total Estimated Number of Respondents: 294,540.
    Total Estimated Annual Burden Hours: 30,493.

[[Page 46037]]

    Total Estimated Annual Cost Burden: $132,543.
    Affected Public: Individuals or households.
    Description: These forms are used for filing claims for wage loss 
or permanent impairment due to a Federal employment-related injury, and 
to obtain necessary medical documentation to determine whether a 
claimant is entitled to benefits under the Federal Employees 
Compensation Act (FECA), 5 U.S.C. 8101 et seq. For additional 
information, see related notice published at 73 FR 20720 on April 16, 
2008.

    Agency: Employment Standards Administration.
    Type of Review: Extension without change of a currently approved 
collection.
    Title of Collection: Representative Payee Report, Representative 
Payee Report, Short Form, Physician's Medical Officer's Statement.
    OMB Control Number: 1215-0173.
    Form Numbers: CM-623; CM-623S; and CM-787.
    Total Estimated Number of Respondents: 2,100.
    Total Estimated Annual Burden Hours: 1,642.
    Total Estimated Annual Cost Burden: $0.
    Affected Public: Individuals or households and business or other 
for-profit or not-for-profit institutions.
    Description: Representative Payee Report (CM-623) and 
Representative Payee Report, Short Form (CM-623S) are used to ensure 
that benefits paid to a representative payee are being used for the 
beneficiary's well-being. Physician's/Medical Officer's Statement (CM-
787) is used to determine the beneficiary's capability to manage 
monthly Black Lung benefits. The Federal Mine Safety and Health Act (30 
U.S.C. 901 and 922) and 20 CFR 725.506, 725.510, 725.511, and 725.513 
necessitate this information collection. For additional information, 
see related notice published at 73 FR 18572 on April 4, 2008.

Darrin A. King,
Departmental Clearance Officer.
 [FR Doc. E8-18054 Filed 8-6-08; 8:45 am]
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