ESA Federal Register Notice Office of Workers' Compensation
Programs, Information Collection; OMB Approval, Energy Employees Occupational
Illness Compensation Program Act Forms (Various) [08/09/2001]
Office of Workers' Compensation Programs, Information Collection; OMB
Approval, Energy Employees Occupational Illness Compensation Program Act Forms
(Various) [08/09/2001]
Volume 66, Number 154, Page 41892
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DEPARTMENT OF LABOR
Employment Standards Administration
Office of Workers' Compensation Programs, Information Collection;
OMB Approval, Energy Employees Occupational Illness Compensation
Program Act Forms (Various)
ACTION: Notice of OMB approval under the Paperwork Reduction Act.
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SUMMARY: The Office of Management and Budget (OMB) has approved, under
the Paperwork Reduction Act, a collection of information under the
Energy Employees Occupational Illness Compensation Program Act (EEOICPA
or Act).
FOR FURTHER INFORMATION CONTACT: Shelby Hallmark, Director, Office of
Workers' Compensation Programs, Employment Standards Administration,
U.S. Department of Labor, Room S-3524, 200 Constitution Ave., NW.,
Washington, DC 20210, (202) 693-0031.
SUPPLEMENTARY INFORMATION: On May 25, 2001, the Employment Standards
Administration, Office of Workers' Compensation Programs, published an
interim final rule governing the administration of the EEOICPA, and
requested OMB approval under the Paperwork Reduction Act of an
information collection consisting of 9 forms/reporting requirements
under the Act. The forms/reporting requirements are: EE-1, Claim for
Benefits Under Energy Employees Occupational Illness Compensation
Program Act; EE-2, Claim for Survivor Benefits Under Energy Employees
Occupational Illness Compensation Program Act; EE-3, Employment History
for Claim Under Energy Employees Occupational Illness Compensation
Program Act; EE-4, Employment History Affidavit for Claim Under the
Energy Employees Occupational Illness Compensation Program Act; EE-7,
Medical Requirements Under the Energy Employees Occupational Illness
Compensation Program Act; EE-15/EN-15, letter to claimant requesting
information on approved claims concerning possible tort suits, third
party settlements, other eligible survivors, fraud convictions, and
corrections; EE-20/EN-20, Acceptance of Payment Under the Energy
Employees Occupational Illness Compensation Program Act; EE-915, Claim
for Medical Reimbursement Under the Energy Employees Occupational
Illness Compensation Program Act; and 20 CFR 30.214, a medical report
required when an injury, illness or disability is sustained as a
consequence of cancer.
OMB has approved the information collection request for three
years. The OMB control number assigned to this information collection
is 1215-0197, and the expiration date is 7/31/2004.
Dated: August 1, 2001.
Shelby Hallmark,
Director, Office of Workers' Compensation Programs, Employment
Standards Administration, Department of Labor.
[FR Doc. 01-19949 Filed 8-8-01; 8:45 am]
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