[Federal Register Volume 64, Number 92 (Thursday, May 13, 1999)]
[Notices]
[Pages 25914-25916]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-12089]
-----------------------------------------------------------------------
DEPARTMENT OF LABOR
Employment Standards Administration
Proposed Collection; Comment Request
ACTION: Notice.
-----------------------------------------------------------------------
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 Employment Standards Administration is soliciting
comments concerning the following proposed extension collections: (1)
Regulations, 29 CFR Part 801, Application of the Employee Polygraph
Protection Act of 1988; (2) Certificate of Medical Necessity (CM-893);
(3) Representative Payee Report (CM-623), Representative Payee Report
(CM-623S), and Physician's/Medical Officer's Report (CM-787); (4)
Housing Terms and Conditions (WH-521); and (5) FECA Medical Report
Forms and Claim for Compensation (CA-16b, CA-17b, CA-20, CA-1090, CA-
1303, CA-1305, CA-1306, CA-1314, CA-1316, CA-1331, A-1332, CA-1336,
OWCP-5a, OWCP-5b, OWC-5c, and CA-7). A copy of the proposed information
collection requests can be obtained by contacting the office listed
below in the addressee section of this notice.
DATES: Written comments must be submitted to the office listed in the
addressee section below on or before July 14, 1999. 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: Ms. Patricia A. Forkel, U. S. Department of Labor, 200
Constitution Ave., N.W., Room S-3201, Washington, D.C. 20210, telephone
(202) 693-0339 (this is not a toll-free number), fax (202) 693-1451.
SUPPLEMENTARY INFORMATION:
Regulations, 29 CFR Part 801, Application of the Employee Polygraph
Protection Act of 1988
I. Background: The Employee Polygraph Protection Act of 1988 (EPPA)
prohibits most private employers from using any lie detector tests
whether for preemployment screening or during the course of employment.
The law contains several limited exemptions which authorize polygraph
tests under certain conditions. Section 5 of the Act requires the
Secretary of Labor to promulgate such rules and regulations as may be
necessary to carry out the Act and require the keeping of records
necessary or appropriate for the administration of the Act.
II. Current Actions: The Department of Labor seeks an extension of
approval of the recordkeeping and third party disclosure requirements
of the regulations in order to insure that polygraph examinees receive
the rights and protections mandated by the Act.
Type of Review: Extension.
Agency: Employment Standards Administration.
Title: 29 CFR Part 801, Application of the Employee Polygraph
Protection Act.
OMB Number: 1215-0170.
Agency Number: None.
Affected Public: Individuals or households; Business or other for-
profit; Not-for-profit institutions.
Total Respondents: 328,000.
Frequency: Recordkeeping; Reporting on occasion; Third party
disclosure.
Total Responses: 328,000.
Time per Response: 1 minute to \1/2\ hour.
Estimated Total Burden Hours: 82,406.
Total Burden Cost (capital/startup): $0.
Total Burden Cost (operating/maintenance): $0.
Certificate of Medical Necessity, CM-893
I. Background: 30 USC 932 of Public Law 803, as amended, stipulates
that coal miners eligible for black lung benefits will be furnished
medical treatment, including services and apparatus, for such period as
the nature of the illness (pneumoconiosis) or process of recovery will
require.
II. Current Actions: The Department of Labor seeks the extension of
approval to collect this information in order to determine if the miner
meets the specific impairment standards to qualify for durable medical
equipment, home nursing care and/or pulmonary rehabilitation.
Type of Review: Extension.
[[Page 25915]]
Agency: Employment Standards Administration.
Title: Certificate of Medical Necessity.
OMB Number: 1215-0113.
Agency Number: CM-893.
Affected Public: Businesses or other for-profit; Individuals or
households.
Total Respondents: 9,000.
Frequency: On occasion.
Total Responses: 9,000.
Average Time per Response: 20 to 40 minutes.
Estimated Total Burden Hours: 3,600.
Total Burden Cost (capital/startup): $0.
Total Burden Cost (operating/maintenance): $0.
Representative Payee Report (CM-623), Representative Payee Report
(CM-623S), Physician's/Medical Officer's Report (CM-787)
I. Background: Benefits due to a black lung beneficiary under the
Federal Mine Safety and Health Act (30 USC 901) may be paid to a
representative payee on behalf of the beneficiary when the beneficiary
is unable to manage his/her benefits due to incapability, incompetence
or minority. The CM-623 is sent to representative payees who are not
relatives of the beneficiary. The CM-623S, which is a shortened version
of the CM-623, is sent to representative payees who are relatives of,
and live with, the beneficiary. In a small number of cases, it is
necessary to determine the incapability or incompetence of a
beneficiary to manage his/her monthly benefits. The CM-787 is a form
used to collect certain medical information from a physician regarding
a beneficiary's competency.
II. Current Actions: The Department of Labor seeks extension of
approval to collect this information in order to determine the
beneficiary' capability to manage their monthly black lung benefits,
and to ensure that benefits paid to a representative payee are used for
the beneficiary's well-being.
Type of Review: Extension.
Agency: Employment Standards Administration.
Title(s): Representative Payee Report, Physician/Medical Officer's
Report.
OMB Number: 1215-0173.
Agency Number(s): CM-623, CM-623S, CM-787.
Affected Public: Individuals or households; Businesses or other
for-profit; Not-for-profit institutions.
----------------------------------------------------------------------------------------------------------------
Average time
Form Number of Frequency per response Burden hours
respondents (minutes)
----------------------------------------------------------------------------------------------------------------
CM-623................................ 2,275 Annually................ 90 3,413
CM-623S............................... 600 Annually................ 10 100
CM-787................................ 223 Once.................... 15 56
----------------------------------------------------------------------------------------------------------------
Total Responses: 3,098.
Estimated Total Burden Hours: 3,569.
Total Burden Cost (capital/startup): $0.
Total Burden Cost (operating/maintenance): $1,035.
Housing Terms and Conditions (WH-521)
I. Background: Section 201(c) of the Migrant and Seasonal
Agricultural Worker Protection Act (MSPA) requires that any farm labor
contractor, agricultural employer, or agricultural association that
provides housing to any migrant agricultural worker, post in a
conspicuous place or present to such worker a statement of the terms
and conditions, if any, of occupancy of such housing. Form WH-521 is an
optional form which may be used to post or present to a migrant
agricultural worker a listing of the terms and conditions for occupancy
of housing.
II. Current Actions: The Department of Labor seeks extension of
approval of this information collection in order to carry out it's
statutory responsibility to ensure that farm labor contractors,
agricultural employers, and agricultural associations have disclosed to
migrant workers the terms and conditions of occupancy at each site
where housing is provided by such employers.
Type of Review: Extension.
Agency: Employment Standards Administration.
Title: Housing Terms and Conditions.
OMB Number: 1215-0146.
Agency Number: WH-521.
Affected Public: Farms; Individuals or households; Businesses or
other for-profit.
Total Respondents: 1,300.
Frequency: On occasion; Third party disclosure.
Total Responses: 1,300.
Time per Response: 30 min.
Estimated Total Burden Hours: 650.
Total Burden Cost (capital/startup): $0.
Total Burden Cost (operating/maintenance): $0.
FECA Medical Report Forms (CA-16b, CA-17b, CA-20, CA-1090, CA-1303,
CA-1305, CA-1306, CA-1314, CA-1316, CA-1331, CA-1332, CA-1336,
OWCP-5a, OWCP-5b, OWCP-5c), and Claim for Compensation (CA-7)
I. Background: The Federal Employees' Compensation Act (FECA)
provides for the payment of benefits for wage loss and/or for permanent
impairment to a scheduled member, arising out of a work related injury
or disease. Form CA-7, Claim for Compensation, requests information
from the injured worker regarding pay rate, dependents, earnings, dual
benefits, and third-party information. The medical report forms collect
medical information necessary to determine entitlement to benefits.
II. Current Actions: The Department of Labor seeks an extension of
approval for this information collection request in order to carry out
its statutory responsibility to compensate injured employees under the
provisions of the Act.
Type of Review: Extension.
Agency: Employment Standards Administration.
Title(s): Claim for Compensation, FECA Medical Reports.
OMB Number: 1215-0103.
Agency Number(s): CA-7, CA-16b, CA-17b, CA-20, CA-1090, CA-1303,
CA-1305, CA-1306, CA-1314, CA-1316, CA-1331, CA-1332, CA-1336, OWCP-5a,
OWCP-5b, OWCP-5c.
Affected Public: Individuals or households; Businesses or other
for-profit; Federal government.
Frequency: As needed.
[[Page 25916]]
----------------------------------------------------------------------------------------------------------------
Average
Form Number of minutes per Burden hours
respondents response
----------------------------------------------------------------------------------------------------------------
CA-7........................................................... 400 13 87
CA-16b......................................................... 130,000 5 10,833
CA-17b......................................................... 60,000 5 5,000
CA-20.......................................................... 80,000 5 6,667
CA-1090........................................................ 325 5 27
CA-1303........................................................ 3,000 20 1,000
CA-1305........................................................ 10 20 3
CA-1306........................................................ 3 10 .5
CA-1314........................................................ 125 20 42
CA-1316........................................................ 15 10 2.5
CA-1331........................................................ 250 5 21
CA-1332........................................................ 500 30 250
CA-1336........................................................ 1,000 5 83
OWCP-5a........................................................ 7,000 15 1,750
OWCP-5b........................................................ 5,000 15 1,250
OWCP-5c........................................................ 15,000 15 3,750
----------------------------------------------------------------------------------------------------------------
Total Responses: 302,628.
Estimated Total Burden Hours: 30,766.
Total Burden Cost (capital/startup): $0.
Total Burden Cost (operating/maintenance): $109.
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: May 6, 1999.
Margaret J. Sherrill,
Chief, Branch of Management Review and Internal Control, Office of
Management, Administration and Planning, Employment Standards
Administration.
[FR Doc. 99-12089 Filed 5-12-99; 8:45 am]
BILLING CODE 4510-27-P
