Proposed Collection; Comment Request [Notices] [04/14/1998]
Proposed Collection; Comment Request [04/14/1998]
Volume 63, Number 71, Page 18231-18232-----------------------------------------------------------------------
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, CA-1336, OWCP-5a,
OWCP-5b, and OWCP-5c. Copies 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 June 15, 1998. The Department of
Labor is particularly interested in comments which:
<bullet> 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;
<bullet> 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;
<bullet> Enhance the quality, utility and clarity of the
information to be collected; and
<bullet> 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: Contact Ms. Patricia Forkel at the U.S. Department of Labor,
200 Constitution Avenue, NW., Room S-3201, Washington, DC 20210,
telephone (202) 219-7601. The Fax number is (202) 219-6592. (These are
not toll-free numbers.)
SUPPLEMENTARY INFORMATION:
I. Background
Statute 5 U.S.C. 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 information necessary to determine entitlements to
benefits.
II. Current Actions
The Department of Labor (DOL) seeks approval of the revision of
this information collection to collect information in order to carry
out its responsibility to determine eligibility for and the
compensation of benefits. For ease of completion, the CA-8 has been
eliminated and the CA-7 has been extensively revised to combine all
elements from the CA-8. The CA-20a has been eliminated; former
respondents to the CA-20a will now complete the CA-20. All other forms
remain unchanged.
Type of Review: Revision.
Agency: Employment Standards Administration.
Title: FECA Medical Report Forms.
OMB Number: 1215-0103.
Agency Numbers: 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: Business or other for-profit; Federal Government;
individuals or households.
Total Respondents: 441,855.
Frequency: As needed.
Total Responses: 441,855.
Estimated Total Burden Hours: 43,414.
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Average
Form Respondents Responses minutes per Burden hours
response
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CA-7............................................ 400 400 13 87
CA-16b.......................................... 157,000 157,000 5 13,083
CA-17b.......................................... 134,000 134,000 5 11,167
CA-20........................................... 112,000 112,000 5 9,333
CA-1090......................................... 800 800 5 67
CA-1303......................................... 4,000 4,000 20 1,333
CA-1305......................................... 80 80 20 27
CA-1306......................................... 25 25 10 4
CA-1314......................................... 1,200 1,200 20 400
CA-1316......................................... 1,100 1,100 10 183
CA-1331......................................... 750 750 5 63
CA-1332......................................... 1,500 1,500 30 750
CA-1336......................................... 2,000 2,000 5 167
[[Page 18232]]
OWCP-5a......................................... 7,000 7,000 15 1,750
OWCP-5b......................................... 5,000 5,000 15 1,250
OWCP-5c......................................... 15,000 15,000 15 3,750
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Total Burden Cost (capital/startup): 0.
Total Burden Cost (operating and maintenance): $154,649.
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: March 7, 1998.
Cecily A. Rayburn,
Director, Division of Financial Management, Office of Management,
Administration and Planning, Employment Standards Administration.
[FR Doc. 98-9831 Filed 4-13-98; 8:45 am]
BILLING CODE 4510-27-P
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