[Federal Register Volume 63, Number 37 (Wednesday, February 25, 1998)]
[Notices]
[Pages 9578-9579]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-4827]
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DEPARTMENT OF LABOR
Employment Standards Administration
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 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 Employment
Standards Administration is soliciting comments concerning two
information collections: (1) Employment Information Form (WH-3 and WH-
3-Spanish); and (2) Survivor's Form for Benefits (CM-912), formerly,
Survivor's Claim for Benefits (CM-912) and Survivor's Notification of
Beneficiary's Death (CM-1089). Copies of the proposed information
collection requests can be obtained by contacting the office listed
below in the addresses section of this notice.
DATES: Written comments must be submitted to the office listed in the
addresses section below on or before April 27, 1998. 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, 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.
ADDRESSES: Contact Ms. Patricia Forkel at the U.S. Department of Labor,
200 Constitution Avenue, NW., Room S-3201, Washington, DC 20210,
telephone (202) 219-7601. The Fax number is (202) 219-6592. (These are
not toll-free numbers.)
SUPPLEMENTARY INFORMATION:
Employment Information Form
I. Background
Section 11(a) of the Fair Labor Standards Act, 29 U.S.C. 201 et
seq., provides that the Secretary of Labor may investigate and gather
data regarding the wages, hours, or other conditions and practices of
employment in any industry subject to the Act. Similar provisions are
also contained in the Public Contracts Act, the Service Contracts Act,
the Davis Bacon Act, the Consumer Credit Protection Act, the migrant
and Seasonal Agricultural Worker Protection Act, and the Family and
Medical Leave Act of 1993, all of which are enforced by the Wage and
Hour Division of the U.S. Department of Labor. The Form WH-3 is an
optional form used by complainants and others to provide information
about alleged violations of the labor standards provisions of the Acts
cited above. The form is provided in both English and Spanish versions.
II. Current Actions
The Department of Labor (DOL) seeks approval of this revised
information collection in order to meet the statutory requirements to
investigate alleged violations of the various labor standards laws
enforced by the Wage and Hour Division. The form has been revised from
the current version in order to incorporate information regarding the
Family and Medical Leave Act, to clarify the form, and to add and
delete certain data elements.
Type of Review: Revision.
Agency: Employment Standards Administration.
Title: Employment Information Form.
[[Page 9579]]
OMB Number: 1215-0001.
Agency Numbers: WH-3 and WH-3 Spanish.
Affected Public: Individuals or households, farms, businesses or
other for-profit; not-for-profit institutions; Federal Government;
State, local or Tribal Government.
Total Respondents: 37,000.
Frequency: On occasion.
Total Responses: 37,000.
Average Time Per Response: 20 minutes.
Estimated Total Burden Hours: 12,333.
Total Burden Cost (capital/startup): $0.
Total Burden Cost (operating/maintenance): $0.
Survivor's Form for Benefits
I. Background
This collection of information is required to administer the
benefit payment provision of the Black Lung benefits Act for survivors
of deceased coal miners. Completion of this form constitutes the
application for benefits by survivors and assists in determining the
survivor's entitlement to benefits.
II. Current Actions
The Department of Labor (DOL) seeks approval of this revised
information collection in order to carry out its responsibility to meet
the statutory requirements of the Black Lung Benefits Act to pay
benefits to eligible survivors of Black Lung beneficiaries. This
information clearance request revises the current form CM-912,
Survivor's Form for Benefits, to simplify the information collection
and to incorporate information formerly collected on the Form CM-1089,
Survivor's Notification of Beneficiary's Death, approved under OMB
1215-1089. Upon OMB approval of the revised CM-912, the CM-1089 will be
eliminated.
Type of Review: Revision.
Agency: Employment Standards Administration.
Title: Survivor's Form for Benefits.
OMB Number: 1215-0069.
Agency Numbers: CM-912.
Affected Public: Individuals or households.
Total Respondents: 3,300.
Frequency: On time application.
Total Responses: 3,300.
Average Time Per Response for Reporting: 8 minutes.
Estimated Total Burden Hours: 440.
Total Burden Cost (capital/startup): 0.
Total Burden Cost (operating/maintenance): $945.00.
Dated: February 19, 1998.
Margaret J. Sherrill,
Chief, Branch of Management, Review and Internal Control, Office of
Management, Administration and Planning, Employment Standards
Administration.
[FR Doc. 98-4827 Filed 2-24-98; 8:45 am]
BILLING CODE 4510-27-M
