[Federal Register Volume 77, Number 120 (Thursday, June 21, 2012)]
[Notices]
[Page 37440]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-15187]


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DEPARTMENT OF LABOR

Office of the Secretary


Agency Information Collection Activities; Submission for OMB 
Review; Comment Request; Request for Earnings Information

ACTION: Notice.

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SUMMARY: The Department of Labor (DOL) is submitting the Office of 
Workers' Compensation Programs (OWCP) sponsored information collection 
request (ICR) revision titled, ``Request for Earnings Information,'' to 
the Office of Management and Budget (OMB) for review and approval for 
use in accordance with the Paperwork Reduction Act (PRA) of 1995 (44 
U.S.C. 3501 et seq.).

DATES: Submit comments on or before July 23, 2012.

ADDRESSES: A copy of this ICR with applicable supporting documentation; 
including a description of likely respondents, proposed frequency of 
response, and estimated total burden may be obtained from the 
RegInfo.gov Web site, http://www.reginfo.gov/public/do/PRAMain, on the 
day following publication of this notice or by contacting Michel Smyth 
by telephone at 202-693-4129 (this is not a toll-free number) or 
sending an email to [email protected].
    Submit comments about this request to the Office of Information and 
Regulatory Affairs, Attn: OMB Desk Officer for DOL-OWCP, Office of 
Management and Budget, Room 10235, New Executive Office Building, 
Washington, DC 20503, Telephone: 202-395-6929/Fax: 202-395-6881 (these 
are not toll-free numbers), email: [email protected].

FOR FURTHER INFORMATION CONTACT: Contact Michel Smyth by telephone at 
202-693-4129 (this is not a toll-free number) or by email at [email protected].

SUPPLEMENTARY INFORMATION: The Request for Earnings Information Report, 
Form LS-426, gathers information regarding an employee's average weekly 
wage. This information is needed for determination of compensation 
benefits in accordance with Longshore and Harbor Workers' Compensation 
Act section 10. The ICR is classified as a revision, because the OWCP 
has made minor cosmetic changes to the form--such as adding the DOL 
Seal and removing a reference to the no longer existent Employment 
Standards Administration--that should not affect respondent burden.
    This information collection is subject to the PRA. A Federal agency 
generally cannot conduct or sponsor a collection of information, and 
the public is generally not required to respond to an information 
collection, unless it is approved by the OMB under the PRA and displays 
a currently valid OMB Control Number. In addition, notwithstanding any 
other provisions of law, no person shall generally be subject to 
penalty for failing to comply with a collection of information if the 
collection of information does not display a valid OMB Control Number. 
See 5 CFR 1320.5(a) and 1320.6. The DOL obtains OMB approval for this 
information collection under Control Number 1240-0025. The current 
approval is scheduled to expire on June 30, 2012; however, it should be 
noted that existing information collection requirements submitted to 
the OMB receive a month-to-month extension while they undergo review. 
For additional information, see the related notice published in the 
Federal Register on March 20, 2012 (77 FR 16266).
    Interested parties are encouraged to send comments to the OMB, 
Office of Information and Regulatory Affairs at the address shown in 
the ADDRESSES section within 30 days of publication of this notice in 
the Federal Register. In order to help ensure appropriate 
consideration, comments should mention OMB Control Number 1240-0025. 
The OMB is particularly interested in comments that:
     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: DOL-OWCP.
    Title of Collection: Request for Earnings Information.
    OMB Control Number: 1240-0025.
    Affected Public: Individuals or Households.
    Total Estimated Number of Respondents: 1,100.
    Total Estimated Number of Responses: 1,100.
    Total Estimated Annual Burden Hours: 275.
    Total Estimated Annual Other Costs Burden: $528.

    Dated: June 15, 2012.
Michel Smyth,
Departmental Clearance Officer.
[FR Doc. 2012-15187 Filed 6-20-12; 8:45 am]
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