[Federal Register Volume 61, Number 40 (Wednesday, February 28, 1996)]
[Notices]
[Pages 7536-7537]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-4471]
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DEPARTMENT OF LABOR
Office of the Secretary
Submission for OMB Review; Comment Request
February 22, 1996.
The Department of Labor (DOL) has submitted the following public
information collection requests (ICRs) to the Office of Management and
Budget (OMB) for review and approval in accordance with the Paperwork
Reduction Act of 1995 (P.L. 104-13, 44 U.S.C. Chapter 35). Copies of
these individual ICRs, with applicable supporting documentation, may be
obtained by calling the Department of Labor Acting Departmental
Clearance Officer, Theresa M. O'Malley ((202) 219-5095). Individuals
who use a telecommunications device for the deaf (TTY/TDD) may call
(202) 219-4720 between 1:00 p.m. and 4:00 p.m. Eastern time, Monday
through Friday.
Comments should be sent to Office of Information and Regulatory
Affairs, Attn: OMB Desk Officer for the Employment Standards
Administration, and the OMB Desk Officer for the Bureau of Labor
Statistics, Office of Management and Budget, Room 10235, Washington, DC
20503 ((202) 395-7316), within 30 days from the date of this
publication in the Federal Register.
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.
Title: Application to Employ Special Industrial Homeworkers;
Application to Employ Student-Learners; Application to Employ Workers
with Disabilities; Supplemental Data Sheet for Application to Employ
Workers with Disabilities.
OMB Number: 1215-0005.
Agency Number: WH-2; WH-205; WH-266-MIS; WH-226A-MIS.
Frequency: On occasion.
Affected Public: Individuals or households; Business or other for-
profit, Not-for-profit institutions; Farms; State, Local or Tribal
Government.
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Number of
Form respondents Estimated time per response Subtotal
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WH-2........................................ 50 30 minutes.............................. 25
WH-205...................................... 600 30 minutes.............................. 300
WH-226-MIS.................................. 5,000 45 minutes.............................. 3,750
WH-226A-MIS................................. 7,200 45 minutes.............................. 5,400
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Total Burden Hours: 9,475.
Total Burden Cost (capital/startup): 0.
Total Burden Cost (operating/maintaining): $2,000.
Description: This information is necessary to determine whether
respondents will be authorized to pay subminimum wages to individuals
with disabilities and learners and employ homeworkers in the restricted
industries under the provisions of sections 11(d), 14 (a), and (c) of
the Fair Labor Standards Act.
Agency: Employment Standards Administration.
Title: Miner's Claim for Benefits Under the Black Lung Benefits
Act; Employment History; Miner Reimbursement Form.
OMB Number: 1215-0052.
Agency Number: CM-911; CM-911a; CM-915.
Frequency: On occasion.
Affected Public: Individuals or households; Business or other for-
profit.
[[Page 7537]]
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Number of
Form respondents Estimated time per response Subtotal
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CM-911...................................... 4,800 45 minutes.............................. 3,600
CM-911a..................................... 5,900 40 minutes.............................. 3,933
CM-915...................................... 9,500 10 minutes.............................. 1,583
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Total Burden Hours: 9,116.
Total Burden Cost (capital/startup): 0.
Total Burden Cost (operating/maintaining): $3,500.
Description: The CM-911 is the standard application form filed by
the miner for benefits under the Black Lung Benefits Act. The
information is used by the program to determine the miner's eligibility
for benefits. The CM-911a lists the miner's work history and is used to
establish whether the miner currently or formerly worked in a coal
mine. The CM-915 is used by the miner to provide information necessary
for reimbursement of medical expenses incurred by the miner.
Agency: Employment Standards Administration.
Title: Pre-Hearing Statement.
OMB Number: 1215-0085
Agency Number: LS-18.
Frequency: On occasion.
Affected Public: Individuals or households; Business or other for-
profit.
Number of Respondents: 6,800.
Estimated Time Per Respondent: 10 minutes.
Total Burden Hours: 1,088.
Total Burden Cost (capital/startup): 0.
Total Burden Cost (operating/maintaining): $2,500.
Description: This form is used to refer cases to the Office of the
Administrative Law Judge for formal hearing under the Longshore and
Harbor Workers' Compensation Act.
Agency: Employment Standards Administration.
Title: Overpayment Recovery Questionnaire.
OMB Number: 1215-0144.
Agency Number: OWCP-20.
Frequency: On occasion.
Affected Public: Individuals or households.
Number of Respondents: 4,500.
Estimated Time Per Respondent: 1 hour.
Total Burden Hours: 4,500.
Total Burden Cost (capital/startup): 0.
Total Burden Cost (operating/maintaining): $1,000.
Description: Information collected on this form is used to evaluate
the financial profile of Office of Workers' Compensation Program
beneficiaries who have been overpaid benefits, and their ability to
repay. OWCP beneficiaries are typically retired coal miners disabled by
black lung disease, and Federal employees disabled due to work-related
injury, or their survivors.
Agency: Employment Standards Administration.
Title: Claim for Continuance of Compensation.
OMB Number: 1215-0154.
Agency Number: CA-12.
Frequency: Annually.
Affected Public: Individuals or households.
Number of Respondents: 6,537.
Estimated Time Per Respondent: 5 minutes.
Total Burden Hours: 545.
Total Burden Cost (capital/startup): 0.
Total Burden Cost (operating/maintaining): $2,000.
Description: This collection is used to obtain information on
marital status of beneficiaries in death cases, in order to determine
continued entitlement to benefits under the provisions of the Federal
Employees' Compensation Act.
Agency: Bureau of Labor Statistics.
Title: Business Birth Pilot Study.
Agency Number: BLS790BBPS.
Frequency: Monthly.
Affected Public: Business or other for-profit; Not-for-profit
institutions.
Number of Respondents: 12,000.
Estimated Time Per Respondent: 5 minutes per new response; 2
minutes per on-going response.
Total Burden Hours: 2,320.
Total Burden Cost (capital/startup): 0.
Total Burden Cost (operating/maintaining): 0.
Description: The Bureau of Labor Statistics (BLS) is initiating a
major redesign of the Current Employment Statistics (CES) monthly
payroll survey. An on-going sample of business births is maintained
under this request. This information is used to develop birth sampling
methods, procedures to estimate birth employment, and to track
activities of new business overtime. This will directly benefit the CES
survey in its total employment estimates.
Theresa M. O'Malley,
Acting Departmental Clearance Officer.
[FR Doc. 96-4471 Filed 2-27-96; 8:45 am]
BILLING CODE 4510-27-M
