[Federal Register Volume 61, Number 100 (Wednesday, May 22, 1996)]
[Notices]
[Pages 25693-25694]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-12846]
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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 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 proposed revision collection of FECA Medical
Report Forms: CA-7, CA-8, CA-16b, CA-20, CA-20a, CA-1090, CA-1303, CA-
1305, CA-1306, CA-1314, CA-1316, CA-1331, CA-1332, A-1336, OWCP-5a,
OWCP-5b, and OWCP-5c.
A copy of the proposed information collection request 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 24, 1996. 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.
ADDRESSEE: Mr. Rich Elman, U.S. Department of Labor, 200 Constitution
Ave., NW., Room S-3201, Washington, DC 20210, telephone (202) 219-6375
(this is not a toll-free number), fax 202-219-6592.
SUPPLEMENTARY INFORMATION:
I. Background
Statute 5 USC 8101 et seq. of the Federal Employees' Compensation
Act provides for the payment of benefits for wage-loss and/or for
permanent payment to a scheduled member, arising out of a work-related
injury or disease. The CA-7 and CA-8 request information, allowing the
Office of Workers' Compensation Programs to fulfill its statutory
requirements for the period of compensation claimed (e.g., the pay
rate, dependents, earnings, dual benefits and third party information).
The other forms in this proposed revision collection collect medical
[[Page 25694]]
information necessary to determine entitlement to benefits under FECA.
II. Current Actions
The Department of Labor seeks the revision approval to collect this
information in order to carry out its responsibility to determine
eligibility for and the compensation of benefits. The OWCP-5a, OWCP-5b
and OWCP-5c are being revised. The CA-1302, formerly included in 1215-
0103, is being eliminated.
Type of Review: Revision.
Agency: Employment Standards Administration.
Title: FECA Medical Report Forms.
OMB Number: 1215-0103.
Agency Numbers: CA-7, CA-8, CA-16b, CA-20, CA-20a, CA-1090, CA-
1303, CA-1305, CA-1306, CA-1314, CA-1316, CA-1331, CA-1332, A-1336,
OWCP-5a, OWCP-5b, and OWCP-5c.
Affected Public: Individuals or households; Businesses or other
for-profit; Federal Government.
Total Respondents: 441,855.
Frequency: As needed.
Total Responses: 441,855.
Estimated Total Burden Hours: 43,412.
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Form Burden
Total respondents Responses Total response time hours
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CA-7.................................... 200 200 20 min......................... 67
CA-8.................................... 200 200 5 min.......................... 17
CA-16B.................................. 157,000 157,000 5 min.......................... 13,083
CA-17B.................................. 134,000 134,000 5 min.......................... 11,167
CA-20................................... 92,000 92,000 5 min.......................... 7,667
CA-20a.................................. 20,000 20,000 5 min.......................... 1,667
CA-1090................................. 800 800 5 min.......................... 67
CA-1303................................. 4,000 4,000 20 min......................... 1,333
CA-1305................................. 80 80 20 min......................... 27
CA-1306................................. 25 25 10 min......................... 4
CA-1314................................. 1,200 1,200 20 min......................... 400
CA-1316................................. 1,100 1,100 10 min......................... 183
CA-1331................................. 750 750 5 min.......................... 63
CA-1332................................. 1,500 1,500 30 min......................... 750
CA-1336................................. 2,000 2,000 5 min.......................... 167
OWCP-5a................................. 7,000 7,000 15 min......................... 1,750
OWCP-5b................................. 5,000 5,000 15 min......................... 1,250
OWCP-5c................................. 15,000 15,000 15 min......................... 3,750
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Totals............................ 441,855 441,855 ............................... 43,412
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Total Burden Cost (capital/startup): $0.
Total Burden Cost (operating/maintenance): $141,394.
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 17, 1996.
Cecily A. Rayburn,
Director, Division of Financial Management, Office of Management,
Administration and Planning, Employment Standards Administration.
[FR Doc. 96-12846 Filed 5-21-96; 8:45 am]
BILLING CODE 4510-27-M
