[Federal Register Volume 60, Number 184 (Friday, September 22, 1995)]
[Notices]
[Page 49287]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-23536]
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DEPARTMENT OF LABOR
Agency Information Collection Review
AGENCY: Employment Standards Administration, DOL.
ACTION: Expedited review of the following information collection
request under the Paperwork Reduction Act.
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SUMMARY: The Office of Workers' Compensation (OWCP), Employment
Standards Administration (ESA), Department of Labor (DOL), invites
comments on the following proposed expedited review information
collection request, in carrying out its responsibilities under the
Paperwork Reduction Act (44 U.S.C. Chapter 35, 5 CFR 1320 (53 FR 16618,
May 10, 1988).
DATES: This expedited review is being requested in accordance with the
Act, since allowing for the normal review period would adversely affect
the public interest. Approval by the Office of Management and Budget
(OMB) has been requested by September 29, 1995.
ADDRESSES: Written comments should be addressed to the Office of
Management and Budget, Office of Information and Regulatory Affairs,
Attention: Debra Bond, Desk Officer, 725 17th Street, N.W., Room 10235,
New Executive Office Building, Wash., D.C. 20503. Request for copies of
the proposed information collection request should be addressed to
Theresa M. O'Malley, Department of Labor, 200 Constitution Ave., N.W.
Room N-1301, Wash., DC 20210.
FOR FURTHER INFORMATION CONTACT:
Theresa M. O'Malley (202) 219-5095. Individuals who use a
telecommunications device for the deaf (TTY/TDY) may call (202) 219-
4720 between 1:00 p.m. and 4:00 p.m. Eastern time, Monday through
Friday.
SUPPLEMENTARY INFORMATION: Section 3517) of the Paperwork Reduction Act
of 1980 (44 U.S.C. Chapter 3517) requires that the Director of OMB
provide interested persons an early opportunity to comment on
information requests. OMB may amend or waive the requirement for public
consultation to the extent that public participation in the approval
process would defeat the purpose of the information collection, violate
State or Federal law, or substantially interfere with the agency's
ability to perform its statutory obligations.
The Director, Office of Information Resources Management Policy,
publishes this notice simultaneous with the submission of this request
to OMB. This notice contains the following information:
Type of Review: Expedited
Title: Claim for Compensation on Account of Traumatic Injury or
Occupational Disease, Form CA-7; and, Claim for Continuing Compensation
on Account of Disability, Form CA-8
Frequency of Response: Form CA-7 is used as an initial claim for
compensation and the CA-8 is filed for continuing compensation
Affected Public: The forms are required of a member of the public on
rare occasions, such as when compensation is claimed after the
claimant's Federal employment has terminated
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Total
Form Respondents Per response hours
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CA-7.......................... Est. 200..... 30 minutes...... 100
CA-8.......................... Est. 200..... 30 minutes...... 100
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Total Annual Burden Hours: 200
Respondents Obligation to Reply: Mandatory for determining claimants
continuing eligibility for and computation of benefits
Description: The ESA, Office of Workers' Compensation Programs
administers the Federal Employees' Compensation Act that provides for
payment of benefits for wage-loss and/or for permanent impairment to a
scheduled member arising out of a work related injury or disease. The
Act outlines eligibility requirements, as well as amount of benefits.
Information from these forms allow OWCP to fulfill its statutory
requirement.
Signed at Washington, D.C. this 18 day of September 1995.
Theresa M. O'Malley,
Acting Departmental Clearance Officer.
[FR Doc. 95-23536 Filed 9-21-95; 8:45 am]
BILLING CODE 4510-27-M
