[Federal Register Volume 78, Number 245 (Friday, December 20, 2013)]
[Notices]
[Pages 77169-77170]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-30291]


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DEPARTMENT OF LABOR

Office of Workers' Compensation Programs


Proposed Collection; Comment Request

ACTION: Notice.

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SUMMARY: The Department of Labor, as part of its continuing effort to 
reduce paperwork and respondent burden, conducts a preclearance 
consultation program to provide the general public and Federal agencies 
with an opportunity to comment on proposed and/or continuing 
collections of information in accordance with the paperwork Reduction 
Act of 1995 (PRA95) [44 U.S.C. 3506 (c) (2) (A)]. This program helps to 
ensure that requested data can be provided in the desired format, 
reporting burden (time and financial resources) is minimized, 
collection instruments are clearly understood, and the impact of 
collection requirements on respondents can be properly assessed. 
Currently, the Office of Workers' Compensation (OWCP) is soliciting 
comments concerning the proposed collection: Certification of Funeral 
Expenses (LS-265). A copy of the proposed information collection 
request can be obtained by contacting the office listed below in the 
address section of this Notice.

DATES: Written comments must be submitted to the office listed in the 
addresses section below on or before February 18, 2014.

ADDRESSES: Ms. Yoon Ferguson, U.S. Department of Labor, 200 
Constitution Ave. NW., Room S-3201, Washington, DC 20210, telephone 
(202) 693-0701, fax (202) 693-1449, Email [email protected]. Please 
use only one method of transmission for comments (mail, fax, or Email).

SUPPLEMENTARY INFORMATION: 

I. Background

    The Office of Workers' Compensation Programs, (OWCP) administers 
the Longshore and Harbor Workers' Compensation Act. The Act provides 
benefits to workers injured in maritime employment on the navigable 
waters of the United States or in an adjoining area customarily used by 
an employer in loading, unloading, repairing, or building a vessel. The 
Act provides that reasonable funeral expenses not to exceed $3,000 
shall be paid in all compensable death cases. The LS-265 has been 
provided for use in submitting the funeral expenses for payment. This 
information collection is currently approved for use through April 30, 
2014.

II. Review Focus

    The Department of Labor 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,

[[Page 77170]]

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 
submissions of responses.

III. Current Actions

    The Department of Labor seeks the extension of approval of this 
information collection in order to carry out its responsibility to 
certify the amount of funeral expenses incurred in the case.
    Agency: Office of Workers' Compensation Programs.
    Type of Review: Extension.
    Title: Certification of Funeral Expenses.
    OMB Number: 1240-0040.
    Agency Number: LS-265.
    Affected Public: Business or other for-profit.
    Total Respondents: 75.
    Total Annual Responses: 75.
    Estimated Total Burden Hours: 18.75.
    Estimated Time per Response: 15 minutes.
    Frequency: On occasion.
    Total Burden Cost (capital/startup): $0.
    Total Burden Cost (operating/maintenance): $36.75.
    Comments submitted in response to this notice will be summarized 
and/or included in the request for Office of Management and Budget 
approval of the information collection request; they will also become a 
matter of public record.

    Dated: December 12, 2013.
Yoon Ferguson,
Agency Clearance Officer, Office of Workers' Compensation Programs, 
U.S. Department of Labor.
[FR Doc. 2013-30291 Filed 12-19-13; 8:45 am]
BILLING CODE 4510-CF-P