[Federal Register Volume 75, Number 86 (Wednesday, May 5, 2010)]
[Notices]
[Pages 24744-24746]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-10493]


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DEPARTMENT OF LABOR

Office of Workers' Compensation Programs


Agency Information Collection Activities; Announcement of the 
Office of Management and Budget (OMB) Control Numbers in Accordance 
with the Paperwork Reduction Act

AGENCY: Office of Workers' Compensation Programs (OWCP), Labor.

ACTION: Notice; Announcement of NEW OMB Control Numbers for OWCP.

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SUMMARY: Pursuant to the Department's reorganization plan effective 
November 8, 2009, the Department of Labor's (DOL's) former Employment 
Standards Administration (ESA) (OMB Account Number 1215) was dissolved 
and its functions were assigned among its four former sub-agencies, of 
which OWCP was one, by Secretary's Order 9-2009 (74 FR 58836). 
Thereafter, OMB assigned new Control Numbers for OWCP's collections of 
information formerly inventoried under the dissolved ESA account.

DATES: This notice is effective upon publication in the Federal 
Register.

FOR FURTHER INFORMATION CONTACT: Vincent Alvarez, Agency Clearance 
Officer, Office of Workers' Compensation, U.S. Department of Labor, 
Room S-3524, 200 Constitution Avenue, NW., Washington, DC 20210, 
telephone: (202) 693-0372 (this is not a toll-free number) or e-mail: 
[email protected].

SUPPLEMENTARY INFORMATION: In accordance with the Paperwork Reduction 
Act of 1995 (44 U.S.C. 3501-3520), OMB has assigned new Control Numbers 
to the collections of information formerly inventoried under the OMB 
account 1215. The new OMB Control Numbers and current OMB-assigned 
expiration dates are listed below, along with any applicable regulatory 
citations and/or Agency form numbers.

----------------------------------------------------------------------------------------------------------------
                                                                                                      Current
     Previous OMB control No.           New OMB          CFR citation         Agency form No.       expiration
                                      control No.                                                      date
----------------------------------------------------------------------------------------------------------------
1215-0022.........................       1240-0043  20 CFR 702.234.......  LS-206...............      10/31/2011
1215-0023.........................       1240-0042  20 CFR 702.251.......  LS-207...............      12/31/2011
1215-0024.........................       1240-0041  20 CFR 702.236,        LS-208...............      01/31/2012
                                                     702.235.
1215-0027.........................       1240-0040  20 CFR 702.121.......  LS-265...............      02/28/2011
1215-0031.........................       1240-0003  20 CFR 702.201,        LS-202, LS-210.......      12/31/2010
                                                     702.202, 702.407.
1215-0034.........................       1240-0039  20 CFR 726.110.......  OWCP-1...............      10/31/2011
1215-0052.........................       1240-0038  20 CFR 725.304a,       CM-911, CM-911A......      09/30/2011
                                                     725.404a.
1215-0054.........................       1240-0037  20 CFR 10.315,         OWCP-957.............      08/31/2010
                                                     30.404, 725.406 and
                                                     725.701.
1215-0055.........................       1240-0044  20 CFR 10.801,         OWCP-1500............      11/30/2012
                                                     30.701, 725.701,
                                                     725.704, 725.405.
1215-0056.........................       1240-0035  20 CFR 718.204.......  CM-913...............      02/28/2011

[[Page 24745]]

 
1215-0057.........................       1240-0034  20 CFR 725.405,        CM-936...............      11/30/2012
                                                     725.406, 725.407,
                                                     725.408.
1215-0058.........................       1240-0033  20 CFR 725.408,        CM-2970, CM2970A.....      12/31/2010
                                                     725.412.
1215-0059.........................       1240-0048  20 CFR 726.206,        CM-921 (Extension          04/30/2010
                                                     726.208, 726.213.      request pending in
                                                                            OCIO).
1215-0060.........................       1240-0032  20 CFR 725.535.......  CM-905...............      09/30/2010
1215-0061.........................       1240-0031  20 CFR 725.208.......  CM-981...............      05/31/2010
1215-0064.........................       1240-0030  20 CFR 725.621.......  CM-908...............      06/30/2012
1215-0066.........................       1240-0029  20 CFR 702.419.......  LS-1.................      05/31/2011
1215-0067.........................       1240-0045  20 CFR 10.518,         OWCP-16..............      05/31/2011
                                                     10.519, 702.506,
                                                     702.507.
1215-0069.........................       1240-0027  20 CFR 410.221, CFR    CM-912...............      08/31/2010
                                                     725.304.
1215-0073.........................       1240-0026  20 CFR 702.121.......  LS-266...............      01/31/2011
1215-0078.........................       1240-0049  20 CFR 10.700,         CA-143...............      12/31/2012
                                                     10.702, 702.132.
1215-0084.........................       1240-0028  20 CFR 725.513.......  CM-929, CM-929P......      06/30/2011
1215-0085.........................       1240-0036  20 CFR 702.317.......  LS-18................      03/31/2011
1215-0090.........................       1240-0023  20 CFR 718.102,        CM-933, CM-988, CM-        08/31/2011
                                                     718.103, 718.104,      2907, CM-1159, CM-
                                                     718.105.               933B.
1215-0103.........................       1240-0046  20 CFR 10.102,         CA-17, CA-16, CA-20,       09/30/2011
                                                     10.211, 10.300,        OWCP-5c, OWCP-5b,
                                                     10.314, 10.331,        OWCP-5A, CA-1332, CA-
                                                     10.404, 10.506.        1331, CA-7.
1215-0105.........................       1240-0047  20 CFR 10.525........  CA-1027..............      12/31/2012
1215-0112.........................       1240-0025  33 USC 910...........  LS-426...............      06/30/2012
1215-0113.........................       1240-0024  20 CFR 725.701,        CM-893...............      10/31/2011
                                                     725.706, 725.707.
1215-0116.........................       1240-0022  20 CFR 10.735........  CA-721, CA-722.......      08/31/2010
1215-0137.........................       1240-0021  20 CFR 10.801,         OWCP-1168............      11/30/2012
                                                     30.701, 725.704,
                                                     725.705.
1215-0144.........................       1240-0051  20 CFR 10.430-10.441,  OWCP-20..............      11/30/2012
                                                     725.544(c), 30.510-
                                                     520.
1215-0151.........................       1240-0016  20 CFR 10.528........  CA-1032..............      02/28/2011
1215-0154.........................       1240-0015  20 CFR 10.126........  CA-12................      05/31/2011
1215-0155.........................       1240-0013  20 CFR 10.7, 10.105,   CA-5, CA-5B, CA-1031,      05/31/2010
                                                     10.410, 10.413,        CA-1074.
                                                     10.417, 10.535,
                                                     10.537.
1215-0160.........................       1240-0014  20 CFR 702.111,        LS-204, LS-267, LS-        06/30/2012
                                                     702.162, 702.174,      262, LS-271, LS-274,
                                                     702.175, 702.201,      LS-203, LS-513, LS-
                                                     702.202, 702.221,      200, LS-201.
                                                     702.321, 702.242,
                                                     702.285, 703.310.
1215-0161.........................       1240-0012  5 USC Sec.   8111(b)   OWCP-17..............      06/30/2012
                                                     (FECA) and 33 USC
                                                     Sec.   908(g)
                                                     (LHWCA).
1215-0166.........................       1240-0010  20 CFR 725.505-513...  CM-910...............      03/31/2012
1215-0167.........................       1240-0009  20 CFR 10.104........  CA-2a................      05/31/2011
1215-0171.........................       1240-0011  20 CFR 725.365,        CM-972...............      12/31/2010
                                                     725.366.
1215-0173.........................       1240-0020  20 CFR 725.510,        CM-623, CM623S, CM-        09/30/2011
                                                     725.511, 725.512,      787.
                                                     725.513.
1215-0176.........................       1240-0019  20 CFR 10.801,         OWCP-04..............      11/30/2012
                                                     30.701, 725.405,
                                                     725.406, 725.701,
                                                     725.704.
1215-0178.........................       1240-0018  5 U.S.C. 8104........  CA-2231..............      06/30/2010
1215-0182.........................       1240-0008  5 USC Sec.  Sec.       OWCP-44..............      07/31/2011
                                                     8104(a) and 8111(b)
                                                     (FECA) and 33 USC
                                                     Sec.  Sec.   908(g)
                                                     and 939(c).
1215-0193.........................       1240-0007  20 CFR 10.802,         OWCP-915.............      12/31/2012
                                                     30.702, 725.701,
                                                     725.705.
1215-0194.........................       1240-0050  20 CFR 10.801,         Instruction only           12/31/2012
                                                     30.701, 725.701,       (Pharmacy Billing
                                                     725.705.               Request ).
1215-0197.........................       1240-0002  20 CFR 30.100,         EE-1, EE-2, EE-3, EE-      08/31/2010
                                                     30.101, 30.102,        4, EE-7, EE-8, EE-9,
                                                     30.103, 30.111,        EE-10, EE-20.
                                                     30.113, 30.114,
                                                     30.206, 30.207,
                                                     30.212, 30.213,
                                                     30.214, 30.221,
                                                     30.222, 30.231,
                                                     30.415, 30.416,
                                                     30.417, 30.505,
                                                     30.620, 30.806.
1215-0200.........................       1240-0001  20 CFR 10.707, 10.710  CA-1108, CA-1122.....      06/30/2012
1215-0202.........................       1240-0006  20 CFR 61.101, 61.104  CA-278...............      08/31/2010
1215-0204.........................       1240-0005  20 CFR 703.203,        LS-275-IC, LS-275-SI,      09/30/2010
                                                     703.204, 703.205,      LS-276.
                                                     703.209, 702.210,
                                                     703.212, 703.303,
                                                     703.304.
1215-0206.........................       1240-0017  20 CFR 10.900........  CA-40, CA-41, CA-42..      06/31/2010
1215-0207.........................       1240-0004  20 CFR 703.116.......  LS-570...............      12/31/2012
----------------------------------------------------------------------------------------------------------------

    The Department notes that notwithstanding any other provision of 
law, individuals are not required to respond to a collection of 
information or revision thereof unless approved by OMB under the PRA 
and it displays a currently valid OMB Control Number. 35 U.S.C. 
3506(c)(1)(B)(iii)(V) and 5 CFR 1320.5(b).

[[Page 24746]]

Authority and Signature

    The authority for this notice is the Paperwork Reduction Act of 
1995 (44 U.S.C. 3506 et seq.) and Secretary of Labor's Order No. 9-2009 
(74 FR 58836).

     Signed at Washington, DC, this 29th day of April, 2010.
Vincent Alvarez,
Agency Clearance Officer, Office of Workers' Compensation Programs, US 
Department of Labor.
[FR Doc. 2010-10493 Filed 5-4-10; 8:45 am]
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