[Federal Register Volume 64, Number 161 (Friday, August 20, 1999)]
[Notices]
[Pages 45572-45573]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-21698]
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DEPARTMENT OF LABOR
Office of the Secretary
Submission for OMB Review; Comment Request
August 16, 1999.
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 (Pub. L. 104-13, 44 U.S.C., Chapter 35). A copy
of each individual ICR, with applicable supporting documentations, may
be obtained by calling the Department of Labor, Departmental Clearance
Officer, Ira Mills (202) 219-5096, ext. 143), or by e-Mail to Mills-
Ira@dol.gov.
Comments should be sent to Office of Information and Regulatory
Affairs, Attn: OMB Desk Officer for BLS, DM, ESA, ETA, MSHA, OSHA,
PWBA, or VETS, 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: FECA Medical Report Forms.
OMB Number: 1215-0103.
Frequency: As needed.
Affected Public: Federal Government; Individuals or households;
business or other for-profit.
Number of Respondents: 302,628.
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Forms Respondents Per response Burden hours
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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
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[[Page 45573]]
Total annualized capital/startup costs: 0.
Total annual costs (operating/maintaining systems or purchasing
services): $109.
Description: These forms are used filing claims for wage loss or
permanent impairment due to a Federal employment related injury, and to
obtain necessary medical documentation to determine whether a claimant
is entitled to benefits under the Federal Employees Compensation Act
(FECA), 5 U.S.C. 8101 et seq.
Ira L. Mills,
Departmental Clearance Officer.
[FR Doc. 99-21698 Filed 8-19-99; 8:45 am]
BILLING CODE 4510-22-M
